IPACHTE# y Harnett County Department of Public Health 2 5 4 8 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Mvmzen,.,y y.~
ISSUED T0: e-P+LXwGLL koMt✓s ryC SUBDIVISION _~leoosHs,rt~. LOT # 1V
NEWV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sffl
Proposed Wastewater System Type: Co Nv e r-4-< va ra a l-
Projected Daily Flow: L-) <(CD GPD
Number of bedrooms: W Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes 1~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t ` feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~ Q~
The issuance of this permit by the Health Department in no way guarantees the e
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 5I P•TI 09 SEE ATTACHED SITE SKETCH
of other permits. The permit hod" ponsible for checking with appropriate governing bodies in meeting their requirements. This
Dement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: PROPERTY LOCATION: Nvctcz;l QD
SUBDIVISION wc-os)1 \O-C-- LOT # \ 90,_
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Q o r 4 S"Ti, ON p.L_, (Initial) Wastewater Flow: t'r`y GPD
(See note below, if applicable
CoNV6N.Aa" o'L (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size l coo gallons Exact length of each trench 100 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a -30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: Sa: 1V, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a, inches above pipe
I a inches total
*`If applicable: /understand the system type specified is different from the type specified on the dp06c30o17. / accept the specificdtions of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to c if the site Ian, plat, 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 subject to complian thons he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 5 I as
Authorization Expiration Date: 5
NTE# C~Ll Permit # X514-`33
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
G
PROPERTY LOCATON: 1VvasERy,9
_ SUBDIVISION WJ LOT #
(polle i, iof Date: S110"1
Authorized State Agent:
OQRINhCC- T_-ks&rn6N\
ueparunvnt ui crrvuunindn►, ntsmut, dtw rvaw '%aauuiuva
Division of Environmental Health Property lb.
On-site Wastewater Section Lot #
File
SOIL,,SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Proposed Facility: Li Q1~nn.E Design Flow (.1949): ~nQ
Location of Site:
Water Supply: Public [ j Individual (j Well
Evaluation Method: j Auger Boring [ j Pit
Type of Wasterwalw.. Sewage (j Industrial Process
P
R
O
Date Evaluated: Sbcgk
Property Size:
Property Recorded:
I J Spring Other
[ j Cut
[ I Mixed
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
1
.1940
.1942
L
E
Landscape Hort>7on
Poeftw C1wm
.1941 .1941
Stud" comdeftnes
_
s0i .
1
F
•
S % IN.
Texture
mlirwalo
MhbtNd sueRests
~4
Clan
w
(IN.)
chr{* karls
A 1 rAm
~s ()-3O' G 1"1a
3~- ~LS FC2 us
b
~~Gn s N
'S IN
description initial S
available Space (.1948) f
stem Ty e(s) Cw
its LTAR 12
5
me air oysrem Other Factors (.1946):
Site Classification 1048):
d 0 Evaluated 8y: C?~\
Others Present: - ~5 pc?s5~~~~ r~Qw 1~~ N