IPACHTE# 6'~ -5 '-X~X53%
Improvement Permit
A building permit cannot be issued with only an Improvement Permit Q-Z
PROPERTY LOCATION: L .ue.L- 8I-r.<, -
ISSUED TO: Y&'m'' ~--cti C J M m s G S SUBDIVISION ""ogoSta v cLL LOT # ~4'3~
NEW X REPAIR ❑ ENSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S PSJ ~5 5 ASS
Proposed Wastewater System Type: C o cv vEc.rC ~O tJ ;,,,L
Projected Daily flow: LIl0 GPD
Number of bedrooms: t-'t Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes e~q No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -,~K Public ❑ Well Distance from well \00 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent-: Date: 5 0`1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o 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, AS& 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: ~6cv" w-, 'A Ck) Mm ~ -4 6 S
Facility Type: '~K New
Basement? ❑ Yes 1~. No Basement Fixtures? ❑ Yes
Type of Wastewater System** Co P% L_
(See note below, if applicable
PROPERTY LOCATION: 1- 'J e.z. l c cox.. q-D
SUBDIVISION `.4 -a-., \ Qs-- LOT #
❑ Expansion ❑ Repair
~RNo
Q,oN rrE^f'V" k>, U (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I-CD 0 0 gallons Exact length of each trench a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. N"' -~6 Inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: Ll"-~O GPD
Trench Spacing: feet on Center
Soil Cover: 1~ - V% inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: inches above pipe
I .a inches total
**If applicable: / understand the system type speciled is different from the type speciled on the app/icatian. / accept the speci>rcationt of this permit
Owner/Legal Representa i ature: Date:
This Construction Authorization is subject to revocatt t 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 "ei~tta comphanewith ro Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: L Date: 51-,-4.1
Harnett County Department of Public Health 2 5 4 8 2
on Authorization Expiration Date: 5 -11
HTE# O°1-5=3~03~ -i's y R~
Permit #
MOW
narnett County Department of lNiblic Health
Site Sketch
PROPERTY LO(ATON: Lt-MVFL $Lt x- Qs)
ISSUED T0: SUBDIVISION `^1oorJ5~~ ~2E LOT #
Authorized State Agent: c-w ti Date: 51
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 5)_W)a
Proposed Facility: LN a Nttb E Design Flow (.1949): tpoTl Property Size:
Location of Site: Property Recorded:
Water Supply: 1>4 Public [ J Individual ( ] Well (J Spring [ J Other
Evaluation Method: Auger Boring [ ] Pit (J Cut
Type of Wastewater: ewage (J Industrial Process [ J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE, FACTOR& '
1
L
E
#
1940
Landscape
Landscape
lope%
Horizon
Depot
IN.)
''194i r'
Structurel
Texture
1941
Consistanoe
Nneralogy,
1942:
So#
We
Color
'
` 1943.
SaM r
Ilk 1N.)
1958
apta
Ciaas
944`.
_ Rests;
hi
,
Ptoft i
Ctass;
& ILTAR
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4
G
Vf ^~~^CP
30`0
t; L-5
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$
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Description
Initial ystem
R air System
Available Space (.1945)
-j
4
System Type(s)
W to
ISite LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: C
Others Present: