IPACHTE# 0-~ Harnett County Department of Public Health 2 5 4 9 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
A~ LCsC2
ISSUED TO: ~J a~rw t_ ~)o P'NW Q-y Gw-\ SUBDIVISION '~:E LOT # t1k
NEVtW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mello r~ i w1 G~ ;
Proposed Wastewater System Type: ~S°louG~lot i 3s,c~
Projected Daily Flow: _26<:! GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 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 160 feet Permit valid for. X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: it -1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holde is re onsible 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 ImprovemeAt 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:
Facility Type: "A New
Basement? ❑ Yes ~2, No Basement Fixtures? ❑ Yes
Type of Wastewater System' V- V~ ~ -z
(See note below, if applicable
Pvme -V Flo ~otxs~orl Sys ~Esn (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 1C3Z) 0 gallons Exact length of each trench - feet
Pump Tank Size 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
(Initial) Wastewater flow: X40 GPD
Trench Spacing: c Feet on Center
Soil Cover. G, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: w i v%o m 0 F a C-o`i c- NBC _a Grp Q~ ~ ~y~
PROPERTY LOCATION: \P." ,sz
SUBDIVISION C' E 'Cvson;a5 LOT # LkFT
❑ Expansion ❑ Repair
%K No
inches below pipe
inches above pipe
inches total
*"If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifmitionr of this permit.
Owner/Legal Representative Sjg e: Date:
This Construction Authorization is subject to revocatioZ"p site p Iat, 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 >tect~o compliance wir o ft ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: C
Authorization Expiration Date: G
HTE# -M -'~I Permit # x54171 ~
Harnett County Department of -Miblic Health
v i tc Sketch
PROPERTY LOCATON: Ny L KZ a-~
ISSUED TO: SS~MU'r--~- - 14QA SUBDIVISION IFG ~taos~A,~ LOT # LtP_
Authorized State Agent: ~~wt 2 i o L Date:
J P v rv~~ ~r
T-c-
1 ~
vrove.
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:
Proposed Facility: 3 f~ LOC~c~. UoK-f
Design Fiow (.1949): `Un
Property Size:
Location of Site:
Property Recorded:
Water Supply:
Public
[ J Individual
[ ] Well
[ ] Spring
[ J Other
Evaluation Method:
Auger Boring
[ ] Pit
[ j Cut
Type of Wastewater:
ewage
[ J Industrial Process
[ j Mixed
P
R
o
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
194Q '
1942
.
L
E
Landscape
Position!
Horizon
Depth
.19411
Structure/
.1941 `
Consistence
Soil -
Wetne
r
1943
.1956
1944'-
Piofile f.~ ~
#
Slope,b
(IN.)
Texture
Mineralogy
ss
- Color
Soil
Depth (IN.)
Sapro
Class
Rests'
Horiz ,
Ctass_
&
LTAR
'
O
~k:
V18" \ i
5
rani
c
st
tc0 G~
3►„
0 -,)0` `
LS
Yfav
g
40 34
] 13~<-
V 1 :5) P
tvi ('L 1a.
~
. a
3 0-1b` C'
y i e3
CL T;7. )
e a~
Description
Initial ystem
Repair System
Available Space (.1945)
System Type(s)
4 ~mp
.Site LTAR
a~
aS
Other Factors (.1946):
Site Classification (.1948): e-~)
Evaluated By: 01
Others Present:
5_tW Q la'