IPACHTE# 0-~ -Harnett County Department of Public Health 2 5 5 6 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Y,N1 v
ISSUED T0: FywEfl 5^`"~=s SUMP~SCG2 SUBDIVISION C~o.,ovG.~L 0Q'\Nc..E LOT # A-
NEW 3 REPAIR ❑ E1~ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S1F0
Proposed Wastewater System Type: Co evyQ-4 e \ b V-J v,)-
Projected Daily Flow: 3 Cn6 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'X No
Pump Required: ❑Yes A, No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "'rS Public ❑ Well Distance from well k O D feet Permit valid for. Five years
Permit conditions: lzzz~ 1- ❑ No expiration
Authorized State Agent.: ~y ~ QS Date: 116 pot SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ather 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, .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
ISSUED TO: F~~ ~P+ c-V r 9T'F-tt._
PROPERTY LOCATION: F+N,GIA`C R-p
SUBDIVISION GcLovF.cl 'Pcr- (-c,- LOT # :1
Facility Type: S C=fl L5u ~3~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 5( No Basement Fixtures? 11 Yes No
Type of Wastewater System** C.. ,vENT\ c, N t~,L (Initial) Wastewater Flow: _ 3L6 GPD
(See note below, if applicable
L.AevyL '-'C, " N;,t... (Repair)
Installation Requirements/Conditions Number of trenches L-1
Septic Tank Size v o 0o gallons Exact length of each trench 15 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1"Z 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: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type specified is different from the type spedded on the application. l accept the specibcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershiD of the site. This
Construction Authorization is subject to co the~rovinss of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: e o
ruction Authorization Expiration Date: L'nl
HTE# Permit # 1SS
Harnett County Depar(ment of ll~tblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION Cvecz Pn.~NcE LOT # 1
Authorized State Ag
0' 4-Iw
uepartmetil UI cnvllunlnanl, rltrdllll, d11U Ivdluldl rWbUU1t tSJ 01 It:" t.
Division of Environmental Health Property 10:
On-site Wastewater Section Lot
File
SOILiS1TE EVALUATION Code:
for 0,N-SITE WASTEWATER SYSTE,NI
Owner: Applicant:
Address:
Proposed Facility: ~CD4[nc~ a Design Flow(. 1949): 31,0 ~X
Location of Site:
Water Supply: Ted Public (j Individual (J Well
Evaluation Method: Auger Boring (j Pit
Type of Wastewater. Sewage Industrial Process
f
Date Evaluated: 1~1' j lb°~
Property Size:
Property Recorded:
(J Spring Other
[ ) Cut
[ ) Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
t*
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Stricture/
I Texture
.1941
Consistence
Millnerallow
.1942
So#
Wetness/'
Color
.1943
SON
Depth IN.)
.11956
Sapra
Class
.19"
Rests
Horiz
Profile ;
Class
a LTAR
~
R
L~-_Cb
G L~
~'n, Ng ~
P 5
7l a t, 36
0 '
L-S
vPa -jd )KQ
3
V5
Description
Initial System
-
R pair System
Available Space (.1945)
T
7
System Type(s)
Site LTAR
LA
.y
Other Factors (.1946):
Site Classification (.1948): F S
Evaluated By:r
Others Present:
1~