IPACHTE# Harnett County Department of Public Health 2 5 4 5 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: SUBDIVISION Facz,c_~~ Oars LOT
NEWA REPAIR ❑ f
NS
ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6 ~ Proposed Wastewater System Type: C..ty 4 -s L
Projected Daily Flow: (00 GPD
Number of bedrooms: Number of Occupants: Cr max
Basement ❑Yes No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Ley feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: 51')109 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran ees the issuanc er permits. The permit holder is r sponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvemen mit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout C~
ISSUED T0: GP v t ~c s LA~o 1JEIElcJ4c PROPERTY LOCATION: Vv
SUBDIVISION ORKS LOT # 1~_
Facility Type: -03M New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** C-0" yC)" _ (Initial) Wastewater Flow: GPD
(See note below, if applicable
C-° I've "r; n r+ p.1- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size lOa0 gallons Exact length of each trenches feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. $-1~ inches
Maximum Trench Depth of- . inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM h inches below pipe
Aggregate Depth: inches above pipe
Conditions: S inches total
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to revocation if t Ian, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is sub{ecr`tQ`compliance wit rove a nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RS Date: _
Construct) Authorization Expiration Date:
HTE# 4-1-5--, cc1l~, Permit # a~~'~; 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:My ti
ISSUED T0: ~Q.vf~ titb ~1CRm~~i SUBDIVISION ~rcx7~ OD~~S LOT # 130
Authorized State AgentN~ (o~wC2, T~ytrwt~C Date: 51 qlOl
141%
aa'~'
Uepar it i lei IL UI Cl lv IIV'III i
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: ?i'~ LG~.c ~'C}tn Design Flow(. 1949): '60 C)
Location of Site:
Water Supply: Public (J Individual ( j Well
Evaluation Method: -NAuger Boring [ ) Pit
Type of Wastewater: Sewage [ j Industrial Process
Date Evaluated: r~
Property Size:
Property Recorded:
[ J Spring [ j Other
[ ) Cut
[ J Mixed
P
R
0
F
SOIL MORPHOLOGY
1941`
OTHER
PROFILE FACTORS
L `
E`
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
A 941 '
Consistence
Mineralogy
.1942 ,
Soil .
Wetness/',,
Color
',1943.
Soil'
Depth (IN.)
1956,
Sapra'
Class
' .1944
j Restr:
Hodz
Profile
Class.
& LIAR
qVV
K
Description
Initial System
pair System
Available Space (.1945)
System Type(s)
c 6Ij
Site LTAR
-
Other Factors (.1946):
1
Site Classification (.1948): ~
Evaluated By:
Others Present:
eer 1~, 12