IPACHTE# Harnett County Department of Public Health 2 5 5 0 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 rev ELvLAC~ 14
ISSUED TO: GAV st +C w5 f a .tio ~ v [yl c~pcry~~~ SUBDIVISION ~ccr Q5 P~ LOT # -t~-T
NEW)9„ REPAI ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO ~ 3 ~
Proposed Wastewater System Type: Pu c-9 aS°/o 9-L-0 v C--1 ) o
Projected Daily flow: -5 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ~K 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 ldC~ feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: A~ 9 S Date: c= I ~6 !l 01) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the, e 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 .1950, .1952
, .1954, .195S, .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 T0: C ~~sryEsS L- ~ ~ P ~.t~C PROPERTY LOCATION: Lc-t,\ 0 EL
facility Type:
SUBDIVISION Q$ W'--s LOT #
New ❑ Expansion ❑ Repair
Basement? ❑ Yes "R, No Basement fixtures? ❑ Yes X No
Type of Wastewater System' PUP p~O
~~/o -oyccvori (Initial) Wastewater flow: 30 GPD
(See note below, if applicable
/
(Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size Id c~ z, gallons
Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size v 000 gallons
Trenches shall be installed on contour at a Soil Cover. C- -)-D, inches
Maximum Trench Depth of. `'d " DA 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
Aggregate Depth: inches above pipe
Conditions: Q»~ Cau g Mt~~ , A~rv~ Q~~SP Cis ~G inches total
**If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca - the s 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 kbbe4t to compliand)4 tk ~r e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 6 )6 Oct
Constru n Authorization Expiration Date: C~ t
HTE# 0c~ -C = 01
Permit # 7~SS"0 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: ~ v4)
ISSUED T0: ~v~ C ~~s ^~o ~L. (-A- ~~q-- SUBDIVISION sC ~t~ks LOT # 1 ~i
Authorized State Agent: rRI-~ (N )~c- Tc~zv~OQN: Date: (3 cl
►a3
Is()
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTENI
Owner:
Address:
Proposed Facility: d ~2cc)5ti ri 1~ Design Flow (.1949):
Location of Site:
v. rove.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public (j Individual Well
Evaluation Method: uger Boring [ ] Pit
Type of Wastewater: Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
(J Spring
[ ] Cut
[ ] Mixed
[ j Other
P
R
o
'
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACT
: .
ORS: .
t :
E
#
'''.1940 ,
Landscape
Position(
Slope%
C
.
Horizon
Depth
IN.)
Q
1941
Structure[
Texture
-7i
1941
' Consistence
Minerall
vFa- 'J3 I'
1942
Soil
Wetness/'
C610i
.
1943
- Soil::,
Depth IN.
.195 ~1944`
5aprat` Restr
) Class Hodr.,
Plume ` i
Claa&;
d~ kTAR
~S
a.s~l~
~tir►~i
~gx sc,i,-
s.~~~P
- 5'
O~~
~ l
VFR N~~~
Description
Initial System
Repair System
Available Space (.1945)
V
System Type(s)
P~'~ "7cj c1C >
Je ;L G }
F
Site LTAR
Other Factors (.1946): -
Site Classification (.1948)
Evaluated By<_:~_
Others Present:I~'R