IPACHTE# O51-'5- _c")l } Harnett County Department of Public Health 2 5 3 2 5
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:
otiu~ ~o(rs6S R9
ISSUED TO: \/Jc-- T-, 7 / ~1fi~HC--v-~5 SUBDIVISION \A LOT # N.
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: rvl" . \-"On!,: WA>C1--
Proposed Wastewater System Type: Co. w o 4 a~
Projected Daily Flow: ?~447) GPD
Number of bedrooms: 2> Number of Occupants: max
Basement ❑Yes "~<No
Pump Required: ❑Yes 'KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 CDC) feet Permit valid for, Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~t 109 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, .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: VA c N SJ--/ M P.~\--N
Facility Type: NP%. s 11A0n4e-
Basement? ❑ Yes 'X No Basement Fixtures?
Type of Wastewater System** Co Irv ~ ~ CJ
(See note below, if applicable
PROPERTY LOCATION: -N& V `AO ~
SUBDIVISION 1AcGVo2 LOT # -S-
New ❑ Expansion ❑ Repair
❑ Yes XNo
(Initial) Wastewater Flow: GPD
a rV f_4\o N Nl_ (Repair)
Installation Requirements/Conditions Number of trenches _~s_
Septic Tank Size 1 nno gallons Exact length of each trench `80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _ZN4 _ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: . Feet on Center
Soil Cover: 11A inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
~O inches below pipe
inches above pipe
1 a inches total
**If applicable: / understand the system type fpeci6ed if different from the type fpecibed on the app/ication. / accept the ,rpecif1catims of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev on if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownPnhin of the cite Thk
Construction Authorization is subject to compliance with the pr s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~~~w 2 S Date: o 011
Construc Authorization Expiration Date:
HTE# 0~1-S-i~t
Permit #
Harnett County Depailment of -Miblic Health
"Site ketch
PROPERTY LOCATON: f'l~Nr\,j--\Aoee6
ISSUED T0: ~ENO~I ~ A'ctµC-w SUBDIVISION Vk c- O2 LOT # i
Authorized State Agent q.5 fl~wESt o~-k,SS~o Date: as 1 b~j
►pl
$O
KD
uepartmefil U) CIIV11U11111CIIl, r1lidllil, d11U iVdlUldl r%VZ UU1l'Vb JI IGl t.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIUSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: 3 A&)q<x)A Wye Design Flow (.1949): '3
Location of Site:
Water Supply: NIK Public (j Individual (J Well
Evaluation Method: Auger Boring [ ] Pit
Type of Wastewater: 31 Sewage Industrial Process
Date Evaluated: C,~ 410 1
Property Size:
Property Recorded:
[ j Spring [ J Other
( ] Cut
Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Sol
Wetness!'
Color
.1943
SON
Depth IN.)
i9m;
Sapra
Class
.1944;
Restr
Hodz
Profile ,
Class
I& LTAR
is
nab
C 5
\jj::~j ,j)"f
~i
a,"-LQ
Ae- 1~'~
rol,
6-A
G 5
\f-F,
Description
Initial System
R pair System
Available Space (.1945)
System Type(s)
"r
4-4 (_1
Site LTAR
u S
Other Factors (.1946):
Site Classification (.1948): Q~
Evaluated By: a~
Others Present: