IPACHTE# Harnett County Department of Public Health 2 5 6 6 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:' N
ISSUED TO: NL611 SUBDIVISION `YsN~E>u4t~,c.C LOT # C.
NEW '5,/ REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: CO ~y0"~` 'y1
Proposed Wastewater System Type: C.o Nv ~w-t \ p tvP~l
Projected Daily Flow: 364 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 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 ZOO feet Permit valid for. > ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: (ti
The issuance of this permit by the Health Department in !way antees the i
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: v SEE ATTACHED SITE SKETCH
other permits. The permit holde is res nsible for checking with appropriate governing bodies in meeting their requirements. This
Sent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: AlSlr> Ct,aS~• PROPERTY LOCATION: ~+.s6EN
SUBDIVISION ''1 tt N ~Ev Q t,.Ac LOT #
Facility Type: \tK New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C_~ty v 6tT~ \p „I PL- (Initial) Wastewater Flow: GPD
(See note below, if applicable
CON' E_-tv T %O N p, L- (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size y o O O gallons Exact length of each trench ti 50 feet
Pump Tank Size gallons Trenches shali be installed on contour at a
Maximum Trench Depth of: C inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: W ►:Fr-1 ~ _ t's,,a•c $t-_,\O mg
MP-Y E,.rc~rovc.~-\ 4 N 1,\-c w.. c
Trench Spacing: Feet on Center
Soil Cover: \a ' S8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
OF Sc~\L.5~19'~EJn. 1.~o VTtt\T~E~
inches below pipe
- inches above pipe
I~ inches total
*If applicable: /understand the system type specired it different from the type rpeciFed on the app/ication. /accept the rpecipcafions of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re if the sit Ian, 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 o complianc 'th t ions e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: c'i I-, o
Con ction Authorization Expiration Date: )`7
HTE# Permit # ~SCC:5
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: 1 , N~EN o
ISSUED T0: SUBDIVISION t-P,c-E LOT #
Authorized State Agent: a~~lS Date: ct' ~1 I ~q
t1A
Cc~NV~NS~orsN
` R-EPP,%c, I
►85
Ial'
40 x3V
~ A0,~
R
36 ~
G2c65 p.ZpbS C7~
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL (SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated.
Proposed Facility: Design Flow (.1949): 3I-0
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
L
1940
L
d
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
aa
scape
Position/
Slope %
q
Horizon
Depth
(In.)
.1941
Struchow
Texture
.1941
Consistence
Min No
.1942
Soil
wetimw
Cola
.1943
soil
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Clam
LTAR
~8'
G is
vfty ,.~~rp
S g
1
p-3D
G S
s
~0- 'l
G 1- 5'
YFC1, NCI N~
g
System
Site Classification (.1948): S
Evaluated By:c5'C
Others Present: