IPACHTEHarnett County Department of Public Health 2 5 4 8 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: IN # IN C-_ ISSUED TO: ~ cr r L -~ac.AS ~ Ns-s SUBDIVISION 5 vr4sGc Q,,oq
,P_ LOT # k,-4,
NEW _~e REPAIR EX'P4NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'~Fo
Proposed Wastewater System Type: C ; "vc- NN v to Projected Daily Flow: -14- O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community :K Public ❑ Well Distance from well 106 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~ Date: __51;m ( a',% SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc f other permits. The permit holder is responsible 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 Improvement Permit 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
ISSUED TO: -f-~a-P% PROPERTY LOCATION: Lfst.,E P__rD
SUBDIVISION 5 \j Nsac R\ o cE. LOT # Ire"
Facility Type: SF~CsS'x43) New ❑ Expansion ❑ Repair
Basement? ❑ Yes -_N\ No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** CO"V E_ rC \,11 tv 11, L
(See note below, if applicable
CON V E~rn `a N Ac- (Repair)
Installation Requirements/Conditions
Number of trenches `3
Septic Tank Size voo o gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 3b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
(Initial) Wastewater Flow: Slew GPD
Trench Spacing: 1 Feet on Center
Soil Cover: 1':b inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
17, inches total
**If applicable: l understand the system type specified is dih`erent from the type specified on the application. / accept the speci6cavi nr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization k mhiprten-wrnratinn if the dm „t- uhf - the i.-And i- A . n r A..~.
. , _..b__. ......................................~~~~...o.. a,om~rov nncn wac u a i.nm.xc w OOOtl mup ul lilt )Ile. mis
Construction Authorization is subject to compliance Yrth the ons the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: (L-, Date: 5 a~ o9
Const ion Authorization Expiration Date: s a'
HTE# O'N 3~.0'z1 1 Permit # `J,5LA,;R13
narnett County Department of Public Health
Site ketch
PROPERTY LOCATON: ALp N E ~-D
ISSUED TO: ~s Z ~-~,5 Ca rvS-Y SUBDIVISION SvNsF t R~ocE LOT #
Authorized State Agent•.~ - cls ~oL~vu -16 i "o odd Date: 5 aA d
1~r5~ t~,o~cQ,eE
sv~ECL
C-
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y
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150
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: 3 t'wev
Design Flow (.1949):3,o Ilk
Location of Site:
W t
yucca.
Property ID:
Lot
File
Code:
Applicant:
a er Supply. Public [ j Individual [ ) Well
Evaluation Method: Auger Boring [ ) pit
Type of Wastewater: Sewage [ ) Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring
[ j Cut
[ j Mixed
[ I Other
P
R
O
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
`
194Q
.1942
L
E
Landscape
Positior4
Hortzon
Depth
1941'
f
i941
Sbvdure! ; Consiskeno
Soil r t .1943 -.1958
,1944`
,
toll
13' 18 T ~ '
#
Slope%
IN.)
e
Texture Mineralogy
. Wetness!' ° Soff ; $aptu
Color D6pth'(IN
) Class
Rests;
~l
dz
C
L 5
~,~r
6 5 v~ ~j1~p
.
o
& LTAR
a a°i,
G- Zip
5 i( L V o
Description Initial stem epair System
Available Space (.1945)
System Type(s)
CO rr-
G~CI rit
kite LTAR
.-19
Other Factors (.1946):
Site Classification (,1948): ~S
Evaluated By:
Others Present: