IPACHTE# 0`1 r-s--~'.a3-7 a Harnett County Department of Public Health 2 5 5 5 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~ y ct~t sc y R o v,c)
ISSUED TO: C.01-4 t -RhcO Q C_•+6t~n~N-T SUBDIVISION _ ~ dopgll.<1,C LOT # X75
NEW,X\ REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SOU ('Al
Proposed Wastewater System Type: v Lr 4Tyo s►1.
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 4 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 1od feet Permit valid for. )<Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: (~h Dater -1 -1 C) I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder is re ponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 4 the site plan, plat, or the intended use changes. The Improvement mit 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: CAv 1NE55 ~_F* V Q QE~EtitlQ ~rC PROPERTY LOCATION: ~yctt6Ry
Facility Type: 5'W'0 C'~ 1~xS`l
Basement? ❑ Yes -;K No Basement Fixtures?
Type of Wastewater System** (:!,o -vE_"-, \ o",
SUBDIVISION \,JooosN~cz~ LOT # 115
X, X New ❑ Expansion ❑ Repair
❑ Yes No
(See note below, if applicable A J _
~.S °~o ~EO u~-t gnu ~CX Ds~ 1►--•
Installation Requirements/Conditions
Septic Tank Size iooco gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
(onditions:
pair)
Number of trenches 5
Exact length of each trench ",D feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a`-1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: "NO GPD
Trench Spacing: 9 Feet on Center
Soil Cover. ~ a., inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
la inches total
*If applicable: /understand the system type specified is different from the type specified on the app/ication / accept the spec16cationr of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is su vocation if th to plan, 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 is subject to coy mpli~ anceti vise the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: iLS Date:
ction Authorization Expiration Date: -7
HTE# -5-3~~70 ~SSS 3
ISSUED TO: o-4
Authorized State Agent:
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Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: N yczsF_rt ~t S2,D
1''~'"`'~ ~EY PM6*aS SUBDIVISION Wooos~\tLE. LOT # ti1S
- ~9>,~~ "Coy res Date: `l,~ I a U1
y s~~
``1 M&10UG 1A V Q_
ueparuttantui crnvnunttiaut. rwdtuiI, d11U wdiww na,VUit,aa .30M"t.
Division of Environmental Health Property ID:
On-site Wastewater Section
Lot
File M
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facili(y: 4c~ mot, Design Flow (.1949):
Location of Site:
Water Supply: Public [ j Individual WeM
Evaluation Method: Auger Boring Pit
Type of Wastewater } Sewage Industrial Process
P J
R
Date Evaluated: ' IVY cj
Property Size: 1
Property Recorded:
Spring [ j Other
[ ) Cut
( ) Mixed
W
SOIL MORPHOLOGY
OTHER
F
•1941
PROFILE FACTORS
1
.1940
.1942
L
E
Landscape horizon
Poaldord Depth
.1941
Strud"
.1941
Consbtsncs
Sod
Wstr
.1943 igm .1NW4 Profll~
9
S % (IN.)
I Texture
minemlogy
color
son Swe Resir Cuss
ML) Class kO
b
r
t 3 LTAR
c3
~'y
7
7
-
r
O
2
`7
~ 5
~ an ti5l H'P
Description Initial S stem Repair System Other Factors (.1946): -
Available Space (.1945) Site Classification (.1948): 5
S stom Type(s) C'e, u
Evaluated By, Site LTAR Others Present: