IPAC RHTE# Q`1Harnett County Department of Public Health 2 5 6 6 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION: Lr-nvi&, Cy
ISSUED TO: t40w6La-'o rPao,, SUBDIVISION _ ( ;P,N ,s.-,~ LOT #
NEW'X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S C=O Q -O -
Proposed Wastewater System Type: ~5 o ~AUCC vv N Sys ram„
Projected Daily flow: 3e- b GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X, No
Pump Required: ❑Yes ❑ No, May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 5-64 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: r~~ CZ Date: $~3v\(I) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce of other permits. The permit holde is r ponsible 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 Impro ement 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, .19% 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: ~trw Gtr F' q--10 5 PROPERTY LOCATION: LT-N.y6J- a t-AC>rc- Q,n
SUBDIVISION G E'+"SEW G-S LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** (ZE.0 J .w1 S75TE- M (Initial) Wastewater Flow: 3Qp GPD
(See note below, if applicable
PU.•,e Flo CEO . SyS~ Ern (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size Ld-d gallons Exact length of each trench 9.$ O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of, l1i inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
(onditions. WRS621.w6 vs~ ~E~s 1-€~csc l0 ~~zo~ Pang C)P ~rsC Sfp-Csc.
Gct-oAUi tit QNy ccLSS ~F 1t~F_ SFpis
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ration. / accept the tpecidcatims of thin permit
Owner/Legal Representative Signature: Date:
,,,,111 „uuw,uauun >uo u re.ucauun n me site plan, piar, or me mtenaeo use cnanges. ine Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is s 'ec to compliance w vision' Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: '913
(on, Authorization Expiration Date: B 31
HTE # 0"1 - S- I (1-1 Permit # a 5 ~b -
Harnett County Department of F' iblic Health
Site Sketch
PROPERTY LOCATON: ~MVEi_ ~Lr~c,K
ISSUED TO: o i ~~wa2DS SUBDIVISION G(~CENMESr LOT # a 1
Authorized State Agent: 1W) Wt-xvCn.,soc-~ Date:
®Cl.aw 1 l~"-,
N~
,~.0 1'
UCtJdI It I ICI It UI CI I VIIUIII I ICI It, I ICdlt11, d1lu 1.4d Jul di mt::JUujut.
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (,1949):
[ j Public (j Individual
[ j Auger Boring
[ J Sewage
JI ICCt.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well [ J Spring
[ j Other
[ J Pit (J Cut
[ j industrial Process (j Mixed
P
R
o
SOIL
MORPHOLOGY
OTHER
F
1941
PROF
ILE FACTORS
I
A"0
1942
`
r <tr
L •
Landscape
Horizon
.1941
1941
S04
1943
' .19561
194-0 Profile 't
I:
Position,
Depth
Structure[
Consistence
Wetness/
Sofl Baprc'
1
-
Rests ' Class
SI %
(414.)
Texturc
Mineralogy
Color
Depth (1114.) Class
- ;
,
;y t,
Hodr 4 4TAR
!
CG
_
-7 ~a 3L$
.3a
c
1A
Other Factors (.1946): _
Site Classification (.1948): C5
Evaluated By: 6C
Others Present: