IPACHTE# oirI -~aa Harnett County Department of Public Health 2 5 3 2 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-crr-. V L, z ~3 - t-,0,C-
ISSUED T0:~ t~s5 ~ti~ tie MC-- Y~ SUBDIVISION e~ S LOT
NEVP< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Fp
Proposed Wastewater System Type: Vu rrP a ~~7s Qi, ,l cs,as~(
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes -~qj0
Pump Required')Ns El No El May be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community -'~K Public ❑ Well Distance from well S OCt feet
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: 5 Date: C1 l k-1 n e'i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is esponsible 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 reference
s into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: PROPERTY LOCATION: Lev ~2 ~ic Q.4
e: C~tO
Facilit
T
SUBDIVISION ~ac> G~ s
C~~~~ LOT # V0
yp
y
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi
xtures? ❑ Yes No
Type of Wastewater System**
(Initial) Wastewater Flow: GPD
(See note below, if applicable
?uc^p~o l 2E-0 0C ci J (Repair)
Installation Requirements/(onditions
Number of trenches 1
Septic Tank Size A00<7) gallons
Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size 1 0 t, 0 gallons
Trenches shall be installed on contour at a
Soil Cover. G -1 ~ inches
Maximum Trench Depth of. '9 ' 41~ inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
inches below pipe
Conditions: ~ i- ~~oPC z Cscent
g~ C~a~~~ SNG~
)c C
~
Aggregate Depth: inches above pipe
\
,~a
c-
inches total
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjeli"trrev Lion if t Ian, plat, 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 to compliance he ns a taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 4 16 09
Constr * n Authorization Expiration Date: C,
HTE# -c, W~ Permit # `r~53~3
Harnett County Depailinent of 4-'l blic Health
Site sketch
PROPERTY LOCATON: L-r-M,C-1- gti AC,c V4)
ISSUED T0: C Pf~~ESS I-~t x~ E„,y SUBDIVISION LOT # 1n
Authorized State Agent Date: 1
to y'
Pomp
/ ~J~s«rhs
4o na
G
Imo.
ision of tnvlronmental Health
-site Wastewater Section -
f
t
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
3posed Facility: [t;EEx2~C}r~ ~y Design Flow (.1949):2 r
cation of Site:
Property ID:
Lot
File
Code:
Applicant:
ater Supply: ~f(1 Public Individual [ j Well
aluation Method: Auger Boring j J Pit
pe of Wastewater: [ ewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
Spring
[ ] Cut
[ ] Mixed
[ J Other
SOIL MORPHOLOGY
OTHER
1944
PROFILE FAC:TCRS.
194V
1342
Landscape
Horizon
941
.1941
gym!
1 +3,
1958
19-14
Prof;
Position/ -
Depth -
Structure/ -
Consistence
~Nenesl
ail
Sapro
Restr
Glass
Stope%
(IN)
Te: tu::
Mircrfogy
C s(cr
D(-Al (IN.)
Class
,riz
& LT AR
i @
10 C_ N fi4 _ 6
31-4) 11 13!111e_!A_ !5,5 1
Description
Initial System
Repair System
AvailableSpace (.1945)
System lype(s)
Q~S-r \ ,
a 5% "p Q.
VUrI~
a s h ~~U~
Site LTAR
Other Factors ( 1946): _
Site Classification ( 1948):
Evaluated Bye
M`
Others Present: