IPACHTE#CYA--; ~ Harnett County Department of Public Health 2 5 5 5 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1Awy `2i-`}
ISSUED TO: bA.y as W s-" o l-acxp,' y SUBDIVISION Va&Q n 'Q a '4'0,;4 LOT # _
NEVVX REPAIR E ANSION D Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `)F9 (01
Proposed Wastewater System Type: C.0 ^+v~ rv;. U rr N1_
Projected Daily Flow: t---rib GPD
Number of bedrooms: t-) Number of Occupants: max
Basement Dyes X No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well k_bO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: `1 `514 \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o 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 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 TO: BRYo,X~-, ~ t VA"d o Locx p.' q PROPERTY LOCATION: AA wy~`7
SUBDIVISION V_a `t`1c.0.,.t KL4 LOT #
Facility Type: SEUL'~1 ~-7c~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes M No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C T4 vr& r"" v rJ AL, (Initial) Wastewater Flow: 470 GPD
(See note below, if applicable
C4 N vL 'r'1 0 N N L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size o o gallons Exact length of each trench -1i C) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a A 3n inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. to 1R inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
Y~ inches total
**If applicable: / anderstand the system ape specified is diNerent from the type apeciped an the app/ication. / accept the lpecifbtionr of this permit
Owner/Legal Representativ Sj nature: Date:
This Construction Authorization is subject to rev n 'f the a 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 t to compliance 3io the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Co uction Authorization Expiration Date: ~i ti
HTE# Cpl"S~2~~1 Permit # a55S`I
Harnett County Department of IlVblic Health
Site Sketch
t PROPERTY LOCATON: "
ISSUED T0: $~7'v KSSonr ~3c,tip,«~ SUBDIVISION FRS Cr ONAL.D LOT #
Authorized State Agent: ~ls (,DL,"6fL- L`~S Date: 0~
~~A 11
r
~.w
nS
)ivision of Environmental Health Property ID:
)n-site Was ewater Section lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Date Evaluated:
'roposed Facility: L,, 60 Q~V&) jA0N
Design Flow (A949): X40
Property Size:
-ocation of Site:
Property Recorded:
Nater Supply:.
1)kPublic
[ ] Individual Well
[ j Spring
:valuation Method:
/r+Auger Boring
[ J Pit -
Cut
hype of Wastewater:
[ 1J ewage
Industrial Process
[ j Mixed
g
[ I Other
P
R
o
;
:',SOIL iv1ORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
1940
Landscape
Position/
Slope9~3
Horizon
Depth
(IN.)
1941
Stn'l-ture/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetnessi
Color
9943
Soil
Depth (IN)l
1956
Sapio
Class
, .1944
Restr-
~'^nz
Profile
Klass
1.LTAR
4
RL s61
a 6
73 .g
Description
Initial System
Rep it System
Available Space (.1945)
System 'Type(s)
Cc3
' r'
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: C3'\
Others Present:-
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SCE Na`"~5
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