IPACHTE# o~--a~-a Harnett County Department of Public Health 2 5 3 3 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 40\ S
ISSUED T0: eyEl- NAG s t-~ ~caMS SUBDIVISION \V~ sti-ti.~Ar.~
LOT #
NEWX 1 REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Fr) ~~I. ALI~3
Proposed Wastewater System Type: Cp.vy C- ~o nI D.L-
Projected Daily Flow: 3 t;0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ~I<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'N' Well Distance from well _~C)Q). feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuanc
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: Gl'4 OCA SEE ATTACHED SITE SKETCH
permits. The permit holler is r ponsible for checking with appropriate governing bodies in meeting their requirements. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 t
ISSUED TO: li~)-~ r<-- fl • s t-L-i qr•~~ PROPERTY LOCATION: Lk-015
SUBDIVISION W LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System' Co,,s,jE-+t< N d N t~,L- (Initial) Wastewater Flow: _ n GPD
(See note below, if applicable
~-ON-It`1,S-\\ON A1- (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size 100 gallons Exact length of each trench 9S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Cv inches below pipe
inches above pipe
1-4N- inches total
**If applicable: /understand the system type specified is different tram the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative ure: Date:
This Construction Authorization is subject to revocation i to pla , t, 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 ct to compliance witR prov ate and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C 'A d
Construction "Authorization Expiration Date: ' (~I?
HTE# O°t -5=a 9 Permit # aQs3n,
Harnett County Department of 1-~iblic Health
Site ketch
PROPERTY LOCATON: I-tO~S
ISSUED TO: c~ - Nm.5 SUBDIVISION LOT # rJ
Authorized State Agent: Date: dztln
L
qb r
,3b'
ueparlliiem Ut CIIVIIUIIIIItnit, fltfdlllI, d11U 0141WIdl rWbUU1l tlJ JIICtlI.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM[
Owner:
Applicant:
Address:
Date Evaluated:
Proposed Facility:
Design Flow (.1949): 3G0 P,~~
Property Size:
Location of Site:
Property Recorded:
Water Supply:
[ J Public
[ J Individual Well
[ j Spring
Evaluation Method:
Auger Boring
[ J Pit
(J Cut
Type of Wastewater:
Sewage
(J Industrial Process
(j Mixed
[ j Other
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
6
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Stricture!
Texture
.1941
Consistence
Mineralogy
.1942 _
SoN
Wetnese
Color
.1943
SON
Depth IN.)
.1966
Sapra
Class
.1944`
r Rests
Hors=
Profile
Class
I& LTAR
C, -\C3
4r- CL, Kte
L1'
1jN( 5r 1,
Description
Initial ystern
%pair System
Available Space (.1945)
j
IV/
System Type(s)
co, N
CXj
Site LTAR
• It
Other Factors (.1946): _
Site Classification (.1948): 5
Evaluated By:
Others Present: ~ fA