IPACHTE# oy -5-_, ~ 1 ) Harnett County Department of Public Health 2 5 3 2 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION: w~¢ Q.ocw
ISSUED T0: 4~_:>*', t u PF ~CHt,~ ,zof uG2 ESE SUBDIVISION LOT #
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: rA.,(~n ~~1
Proposed Wastewater System Type: G-•-rv~r~tn r~ o r
Projected Daily Flow: 4 S d GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ` d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: `yam \ Q,5 Date: C-I -a~bg SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 .1950, _1952, .1954, .1955, .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
ISSUED T0: 4~H ut~E~,~e-~„~e► PROPERTY LOCATION: O ca cac.~
SUBDIVISION LOT #
Facility Type: Mofl Ca 7~x"?G New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" ~ o~rvE~.rc s bs rPL- (Initial) Wastewater Flow: GPD
(See note below, if applicable
C-1.w o ej AL (Repair)
Installation Requirements/Conditions Number of trenches 4-
Septic Tank Size 1 c5e>-o gallons Exact length of each trench d10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3,14 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 1 '~L, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
S inches total
**If applicable: / understand the system type specired is different from the type specified on the application. / accept the speci6c3tionr of this permit.
Owner/Legal Representative Signa Date:
This Construction Authorization is subject to revocation if t Ian, a4 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 subs {lh~e~mpliance with pr a and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 'vr Date:
Construe Authorization Expiration Date: 6
HTE# QP~ -5 16d Permit #
Harriett Connty Department of 1- ~tblic Health
Site Sketch
PROPERTY LOCATON: C) pcas~
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: o~~vECt-~o~u.~ooQF Date: C'aO~QA
1C)1ZLP111-% T- \S
~ -1 4.
~~,..r'fcty Cove L-"j
ueparo em u1 arlvnuflrlfem, nGdlul, d11U IVdlUfdl 11CJUU1l eJ
Division of Environmental Health
On-site Wastewater Section
SOILYSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: L~Q>ES;J~c^ Design Flow (.1949):►} b
Location of Site:
of Iettl.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: _-P4,Pubilc I I Individual [ ] Well
Evaluation Method: ' Auger Boring [ ] Pit
Type of Wastewater. s wage [)Industrial Process
Date Evaluated:O) ) Do,
Property Size:
Property Recorded:
[ J Spring [ ] Other
[ ] Cut
[ I Mixed
P
R
O
IF
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)'
.1941
Stricture/
Texture
.1941
Consistence
Minerak)gy
.1942 .
Sol!
Wetness/'
Color
.1943
SON
Depth IN.)
.1968
Sapra
Class
.1944;
Restr
Horiz
Profile ,
Class
<AR
L.Ej
G 5
v~n_ rvr.31 rP
~
. S
~
~
~k ScZ-
~53~ 9 ~
Description
Initial System
air System
Available Space (.1945)
J
.1
System Type(s)
C-0 sJ
c'4''
Site LTAR
~
,vtS
Other Factors (.1946): p_
Site Classification (.1948): ~i
Evaluated By:
Others Present: