IPACHTE#V:~ - - 5~o Harnett County Department of Public Health 2 5 6 6 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: iv,z6 V,p
ISSUED TO: gsL~- Q- a. SUBDIVISION ~bN 'r-, LOT # 't"~
NEW 'U REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S V-'&:) (
Proposed Wastewater System Type: Pu K.e`1o t Nrvov acv E
Projected Daily Flow: 3rot~ GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes XNo
Pump Required:~:qYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 101-0 feet* Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \y QS _ Date: I I N-1 ~ 0°1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no wa guarantees thitce of other permits. The permit holder is resp risible 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 Imp merit 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: a s 1-t- `cko m
PROPERTY LOCATION: -7-,-
SUBDIVISION PP~io M!5 Qo-\ „r~ LOT #
Facility Type: S~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ;9\ No Basement Fit
Type of Wastewater System ' Pv tie to
(See note below, if applicable
Pu tY,p --7o
Installation Requirements/Conditions
Septic Tank Size Mcp gallons
tures? ❑ Yes No
\evcvoyn-CSV~ (Initial) Wastewater Flow
HNmr p`5 sv~ (Repair)
Number of trenches _ 5
Exact length of each trench Ga feet Trench Spacing:
Q1 B
Xt.) GPD
Feet on Center
rump Tank We c gallons Trenches shall be installed on contour at a Soil Cover: t inches
Maximum Trench Depth of. ay inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: u+~~ L~~~ Mv~~ ~E to o-F-G azL ~w❑xs a~ ~ ,c sys S C,r~ P>.'- U's tL rt ~~s Mvr, inches total
NOS t.~aotai, O.+ S rS,cSys QRb~ «z Eey~a~(2 R~~A,cL V'Ssmo, !Nsl) 1'~.T1At Y~yLP ~~wY S a sca.E~
If applicable: /understand the system type speci>ed is diNerent fiom the type specified on the application. / accept the speciflwionr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev`oTationif the site 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 st to compliance r ~s 0"" laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 9 )-1) 01
Cons ion Authorization Expiration Date: 1'1
HTE# Uri S 1 O Permit # '3-5 r-' cz,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: + N6
ISSUED T0: +Lt C- ~~~E SUBDIVISION PQ•~oNS ~d~~ rC LOT # 't$
Authorized State Agent: COI-\,4& , ToLYSDO Date: Ct 1`1 0
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIUSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: \
Proposed Facility:-1 g Design Flow (.1949): d
Location of Site:
Water Supply: ''Public (J Individual [ j Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater: 110ewage [ j Industrial Process
Date Evaluated- two}}
Property Size:
Property Recorded:
[ ) Spring [ J Other
( ) Cut
(j Mixed
P
R
O
F
SOIL MORPHOLOGY
.19411
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
S 9L
Horizon
Depth
IN.
.1941
Structure/
Texture
.1941
Consistence
Mkwrs
.1942
Son/
Wetnew
Color
.1943
SoN
Depth IN.)
.1936
Saproi
Class
.1944r
r Restr
Horiz
Profile ,
Class
& LTAR
L15
1
L-Is
qvh~ ~ )
~S
5
-57
~--ssl
,
i 5
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
eJ'„w
pvr ~a~~I
Site LTAR
J`'
3
Other Factors (.1946):
Site Classification (.1948): IF-5
Evaluated By: (7r
Others Present: