IPACHTE# o°~-~-tea Harnett County Department of Public Health 2 5 3 4 2
Improvement Permit
A building permit cannot be issued with only n Improvement Permmit,
PROPERTY LOCATION: ~uG~1A+iaw~ ~J+
ISSUED TO:~- Q+ ~~'srvsar~t C.- N 5T . SUBDIVISION LOT #
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5FO ~~~$'~S2r
Proposed Wastewater System Type: Go.vvF~CVowr+t
Projected Daily Flow: LY7 Z7 GPD
Number of bedrooms: L~ Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -Jg~ Public ❑ Well Distance from well tOO feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: (5 SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Health Department in no way guarantees the issuance er 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 ermit 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 TO: _S'p, Co ,vs . PROPERTY LOCATION: ~ y c Nau n,a QD
SUBDIVISION LOT #
Facility Type: 5''49 (6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes -~K No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** Co C_,T,'43>v~.L (Initial) Wastewater Flow: !1 ?O GPD
(See note below, if applicable
Co V'4 V f_NI-N)o r J A L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size SOoa gallons Exact length of each trench `1C)
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a-?'
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover: 1~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type specified on the appliwik / accept the specifications of this permit.
Owner/Legal Representative Si re: Date:
This Construction Authorization is subject to revocation i ite plan 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 subject to ompliance with pro ' e s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: t- Date: ~
Constr nn Authorization Expiration Date:
HTE# Oat-5~~~`ti Permit #
Harnett County Department of lUblic Health
Site Sketch
PROPERTY LOCATON: gu~'~Ar„cw
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent ~Q-`veg'roLxs~ Date:
l
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Uepa►ul1e111 UI CJlvllulll w"t, r11edllll, d11U IVdWldl Rt!JUUII.CO
Division of Environmental Health
On-site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Vy 00Dc tr,, 1-~,Av,, r Design Flow 0949):L60
Location of Site:
Water Supply: (J Public Individual Well
Evaluation Method: (j Auger Boring (j Pit
Type of Wastewater: [ J Sewage [ j industrial Process
JI ItMi.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
( J Spring [ ] Other
( j Cut
[ J Mixed
P
R
p
F
SOIL M
ORPHOLOGY
.1941
O
PROFIL
THER
E FACTO
S
1
L
E
0
!
.1940
Landscape
Position/
Slope%
~'m
Horizon
Depth
IN.)
CJ ~6
.1941
Structure/
Texture
~ 5
.1941
Consistence
Mineralogy
Vert, ~S~
.1942
Solt
WetnesaC
Color
.1943
Solt
Depth IN.)
1958
Sapra
Class
; .1944
Rests
Horiz
Profile
.
Class
dl LTAR
s
G
-51~
/y
G
'vin,
5
GY1 J 3 is
S
y
75,
J
vc"2i 31
!5 b
O D
A
'
Description
initial System
Repair System
Available Space (.1945)
Y
System Type(s)
C,0
Site LTAR
- lo
Other Factors (.1946):
Site Classification (.1948): 5
Evaluated ByP r
Others Present:
3 4,) "