IPACHTE# C°1-5-
Improvement Permit
A building permit cannot be issued with only an Improvement P rmit
PROPERTY LOCATION: N- C-- V-D
ISSUED TO: ~ ar L Lv~c~ Cow tr-, SUBDIVISION 5v+,e~ RsSC~ `7~y~ LOT # S, 4
NEW)$ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5FD (,t}$
Proposed Wastewater System Type: Co ~ay~ e~~or
Projected Daily Flow: ~~C7 GPD
Number of bedrooms: _ Number of Occupants: max
Basement ❑Yes ,
Pump Required: ❑Yes ~Oo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~R Public ❑ Well Distance from well V-< feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Q S Date: Q-Z ) Cn SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is uance of other permits. The permit ho de 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.
Harnett County Department of Public Health 2 5 4 9 6
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: PROPERTY LOCATION: Qy ry~
SUBDIVISION 5 t~.~a Oxocr; S3 LOT # \A~_
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System" C, -\f 0 r AS,L, (Initial) Wastewater flow: 7-34-0 GPD
(See note below, if applicable Co N VAS\ocvD.L /Ranairl
Installation Requirements/Conditions
Septic Tank Size Lcf~00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Number of trenches
Exact length of each trench TSSG
Trenches shall be installed on contour at a
Maximum Trench Depth of. aLt
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions:
4- inches below pipe
Aggregate Depth: inches above pipe
~7. inches total
**If applicable: / unr/errtand the rystem type rpecifled is different from the type rpeci6ed on
the application. / accept the .rpecifmwt nr of thin permit
Owner/Legal Representative Signature: Date:
„ -J- n wn ,tie piau, Pear, m me imenuea use cnanges. ine construction Authorization snau not be transterred when there is a change in ownership of the site. This
t.onstruction Authorization is subje-a to ctoo Iiance with the rovisions of the L s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 15 Date:
Construction Authorization Expiration Date: &
HTE# Permit # Q.51-r9
narnett c ounty Department of IlVblic He-rdth
Site sketch
PROPERTY LOCATON: L4 \ Ne ?o
ISSUED TO: ~5c~--~- L Lvc r<~ Ql, SUBDIVISION S R~sr~ 5e_c.3 LOT # \lAf,
Authorized State Agen~~
Zj:,~~av~u iowsoorty Date: b
Io0
caOVE N Ot4kL
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILi'SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: GXtOD T1 Design Flow (.1949):
Location of Site:
Water Supply: Public (J Individual [ J Well
Evaluation Method: Auger Boring [ J Pit
Type of Wastewater: gQ Sewage [ J Industrial Process
Date Evaluated: 61 jjoe
Property Size:
Property Recorded:
[ J Spring [ j Other
[ J Cut
( ) Mixed
P
R'
o
f~
SOIL MORPHOLOGY
tsar .
OTHER
=PROFILE FACTORS-,'
t r
I
k:
E!'
1944
Landscape
Positiorn,
Slope%`
Horiiors
Ae
pth-
IN.t
a -
.1941.
Shuctureh .
Texture.
1941
5 Consl
t s4enoe
r Mtneraf'
ogy
1942
' SOil`i F•}
Wetnosah t'ir
0
x1543`
§oN(,_
lie w ON.)
{.j9 t
t St# ' ; •j.
3aRrat' i estrt`
Clain
Ptof r ` ?
4 t
Claw-,
k OAFi .
L-~
0 -
I "U
Q d
Description
Initial System
epair System
Available Space (.1945)
V
R
_I
System Type(s)
C c>
J
Site LTAR
Other Factors (.1946): -
Site Classification (.1948): S
Evaluated By:c)
Others Present:
VS0 (3~) a4
wo