IPACHTE# o y-~t= a-~-f -1 Harnett County Department of Public Health 2 5 2 7 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS SK / I-J:5_ 4C ri~ ~
ISSUED T0:_ ~VVei"y C~nstrvc VA SUBDIVISION LOT #
NEW C3" REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ,D q5-
Proposed Wastewater System Ty e: C
Projected Daily flow: 3 G GPD
Number of bedrooms: 7 Number of Occupants: C max
Basement ❑Yes IR No
Pump Required: ❑Yes ❑ No Ma, be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 41 Public ❑ Well Distance from well feet Permit valid for.
Li Frve years
Permit conditions:
❑ No expiration
Authorized State Agent:: C/ . V_ . . . Date: G AA 0 a9 SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department in no way guarantees the issuance of 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 ASO, .1952, .1954, ASS, .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
t
ISSUED TO: V~1rt A,S'1(' , c~ ors PROPERTY LOCATION:
e / SUBDIVISION e,` G mac'--- LOT # 12
Facility Type: 4'01 L> New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Y ❑ No
Type of Wastewater System' 0 4 IAC It ~n (Initial) Wastewater Flow: GPD
(See note below, if applicable
U1~. ~~~lRepair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size d00 gallons Exact length of each trench _9,U _ feet
Pump Tank Size ~_C)tl0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 9 feet on Center
Soil Cover: -__(a-- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Condif Aggr gate De the_ inches above pipe
ndions: ra v n. oA C°'l.-~o.:r 1~,~ j~ ~o inches total
L t- I0 --Jo' t c0. vt rv t be- s v c3 ~ _ W 'r!t! w c/
sr acv
'If applicable: /understand the system type specified is different from the type speciTed on the applic,?#on, / accept the specifIcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat or the intended use changes. The (onrtructon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complce with the provisions of the Law~nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Date: 0'C
Construction Authorization Expiration Date: 4 S z
HTE # 0, 1))- -
Permit # 02 r 2-~5
Harnett County Department of F' iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: /t o r S ~r vc. uK SUBDIVISION + cs dt e i in LOT #
c
Authorized State Agent: o; Date: G Zoo q
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oc
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uepartment of Environment, Health, and Natural Resources
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ _~Public [ ] Individual
[j Auger Boring
[,I Sewage
Sheet:
Property ID:
Lot
File
Code:
Applicant:
[ ] Well
[ ] Pit
[ ] Industrial Process
Date Evaluated: (a /(4/q
Property Size:
Property Recorded:
[ j Spring [ j Other
[ J Cut
[ J Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
1944
Restr
Horiz
Profile
Class
& LTAR
~f
C-
~
J
SC1,K1
td
~
c
Description
Initial System
Repair stem
Available Space (.1945)
System Type(s)
C c(l
c~
Site LTAR
, c
C
Other Factors (.1946):
Site Classification (.1948):1Pf
Evaluated By:/14-
Others Present: