IPACHTE# Harnett County Department of Public Health 2 5 4 8 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I tnz Y~~ P~ LLD
ISSUED i0: SUBDIVISION ~~fs db~ Q~~3 LOT # N-1 L)
NEW'N REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: LA :-,1-7:-, Proposed Wastewater System Type: C~o mac- E, t,-, o rt iXL-
Projected Daily Flow: 3(~ O GPD
Number of bedrooms: 3 Number of Occupants:' max
Basement ❑Yes XNo
Pump Required: ❑Yes 'R No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~o feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: E ~ a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of of its. 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, pla( 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, .1957, .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: "')1-\ CO~- rtwc;cgs 1.,~ PROPERTY LOCATION: L-cs OE-L
SUBDIVISION Fca ~5< Q} ~N LOT # ~1~
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes -C9, No Basement Fixtures? ❑ Yes '151. No
Type of Wastewater System** Co \ ssv ~;,,L_ (Initial) Wastewater Flow: 3I~Q? GPD
(See note below, if applicable
C-11 >v -r tr •.s~ ~ d " t>. t_ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench 10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _ n inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: C~ Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
r C1,11 inches total
**If applicable: /understand the system type specified it diNerent from the type specified on the application. l accept the specifications of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall nnr hp trnndprod when th- < a A-- „W„-Ai „t A. i,. Thi<
Construction Authorization is subject to-cotn li nce wi the ons of ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: - Date: 6 D
Co n Authorization Expiration Date: l~
H T E # d"~- Oro cl Permit # ~~5LTI'i
narnett County Depailinent of 11 ablic Health
Site 'Sketch
PROPERTY LOCATON: <^~EZ C))-PCB
ISSUED T0: SUBDIVISION N7 a%C , QAxs LOT # 1
Authorized State Agent: Date:
3q~
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: j y psi Design Flow (1949):`-~ It
Location of Site:
yr rcva.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: JKJ Public [ j Individual [ j Well
Evaluation Method: Auger Boring [ J Pit
Type of Wastewater: (.,Sewage Industrial Process
6 9
Date Evaluated: 5,Lr) ~
Property Size:
Property Recorded:
[ j Spring [ j Other
[ ] Cut
(j Mixed
P
R
a
F
SOIL MORPHOLOG
.1941 "
Y
OTHER
PROFIE OFILE FACTORS-'
1
L
E
#
.1940
Landscape
Position/
Slope%'
Horizon
Depth
(IN.)
1941
Structure!
Texture
'
1941
`co, nsislenoe
Mineral
1942
Soil ,".1943 1956:
Wetness) Sofl Sa
Pte,
Color,„ Depth' 114.) Class-
` 194-
Rests;
Horiz`.
Profile
Class;-
_<AR
G
S
V,F, "
1Cy''
:se-A-
F rL s
Cfi~'~ CL 7
. ~l~
3
ai6~a
G
vrcv "N5V'Q
Carlo, 3"1~
s
Description
Initial Sy
stem
-Repair System
Available Space (.1945)
/
System Type(s)
CAN
<~N
Site LTAR
45
Other Factors (.1946):
Site Classification (.1948): Q
Evaluated By: U
Others Present: