IPACHTEHarnett County Department of Public Health 25491
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-1E _c;,,vEL e) L- ~ R-D
ISSUED T0: sclUGSO<L5 c. SUBDIVISION LOT # 1-
NEW REPAIR ❑ 4XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ASV il,icQ ~S Cl~
S/a ~pvc5.a r SySS
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes A No
Pump Required: ❑Yes ❑ No ')!~May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L OC) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: QS Date: C3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er permits. The permit holder is 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 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 TO: H ss cL-uCsSd2S PROPERTY LOCATION: Ue- vJ Lz,-
SUBDIVISION , ds LOT # 1-7 5
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1~ No Basement Fixtures? ❑ Yes 'E*No
Type of Wastewater System** a,43% R~ov c--, v o " 'Z, y s s Ecr (Initial) Wastewater Flow: GPD
(See note below, if applicable _
Qv m~ ca sw ~ tk l- (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t a o c~ gallons Exact length of each trench Z'A a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ►%s, 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 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified lJ different from the type specified on the application. / accept the specifications of this permit
Owner/legal Representative Signature: Date:
This Construction Automation k m~tiaaif thn it. nlan~tnr nr rho j.-dod .u,,, - The ..,u a .1_.-
....~~~~b~ ~~~~,,.~r v. u~c ,sac. ,,,v
Construction Authorization is so mpliance with t vise Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Au ization Expiration Date:
HTE# Permit # a ~1 A
Harnett County Department of 11"abli c Health
Site, Sketch
PROPERTY LOCATON: L-Eo
ISSUED TO: CZh1`5`- ,t• 0, SUBDIVISION _ Fa st OA~s ~ LOT
Authorized State Agent: +-w~ ~~?Lfl~c Date: 6'14`
I 1 C}
Zf
35~ c
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: V Date Evaluated: Tj)Zej}oc,~
Proposed Facility: 3 ~j~gq~cK,r-, -oNt3r-% Design Flow (.1949): 36d c~ e Q Property Size:
Location of Site: Property Recorded:
Water Supply: Public [ J Individual [ j Well (J Spring [ J Other
Evaluation Method: Auger Boring [ j Pit [ j Cut
Type of Wastewater: ewage (j Industrial Process [ J Mixed
P
R
o
F
1
~
SOIL
MORPHOLOGY
teat'
, OTHER
~PROFI E FACTORS
t, .
1
L
L
E
#
940
Landscape
PosRioN
Slope%
orizon
Ddpth
(IN.)
-
"1941'
Structure! ;
Texture
C
941
Consistence
Mineralogy
.1942--
~Sod i
. Wetnesat
Color ; `
1 ,
1943 ~ .1958
SoH; Sa
Depth IN.) ' Class
$ 1944`
aestr ; .
Horn=.:
P
a, , ` .
crab,
& LIAR
o
AV
1.
LS
°
Cj-3d
5
P
3
~~3~
x
ssJ
X41 -7 3~~
P y
Description
Initial System
Re air System
Available Space (.1945)
.System Type(s)
-
X16
PU'nP Ta
CZ-0 NV
ISite LTAR
• 1-i ~
Other Factors (.1946):
Site Classification (.1948): ,PS
Evaluated BY, Cj U
, /
Others Present: ~-a w
1R '