IPACHTE# C h-5-~03 Harnett County Department of Public Health 2 5 6 6 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: wy
ISSUED TO: VcLLe`~SOVA SUBDIVISION LOT #
NEVj, REPAIR ❑ PANSION E3
Type of Structure: M Qfl x`16 ~
Proposed Wastewater System Type: `rL~r-% vc) J-,J KL-
Projected Daily Flow: 1' O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes -~<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'mil Public ❑ Well Distance from well COQ feet Permit valid for. Five years
Permit conditions: LI No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder is res onsible 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 ent 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: L.' oo, ' %j ec`\ \sd i 1
PROPERTY LOCATION: \4 Wy `3-7
SUBDIVISION
Facility Type:ofl A New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~R No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C-0-J -lEN'C ~b N
(See note below, if applicable ❑)r~
(Repair)
Installation Requirements/Conditions Number of trenches a.
Septic Tank Size 1660 gallons Exact length of each trench t O C1 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _ 2~, 1-- _ inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
L~,~~ Y`lvgc QL 10, c,rc- -,UT lC- s~~ErZ, Ala
C-0-0 9-4-1'pc Q ✓ 1 ~r NS \Q-- o
LOT #
(Initial) Wastewater Flow: %Q GPD
Trench Spacing: Feet on Center
Soil Cover: S r~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
5~ inches below pipe
Aggregate Depth: Q, inches above pipe
I v L ~ 71 >=s 7 inches total
**If applicable: / anderrtand the system type specified if different from the type .rpeciFed on the app/ration. / accept the soecificationl of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization i su evocation if 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 subject to comph i s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 2Sv~~S Date: °
onstruction Authorization Expiration Date: 7"t
HTE# Cyc) ~`3U3 Permit # aSCe'~
Harnett Connty Depairlinent of Public Health
Site Sketch
PROPERTY L0CATON: N w`t T-+
ISSUED TO: Li nor. w~5~ SUBDIVISION LOT #
Authorized State Agent R)A5 QOL\,)Fz TdL~saor Date: 3~~1 dy
5 4~).'
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ED:
On-Site Wastewater Section Lot
SOIUSTTE EVALUATION File
Code:
for ON-SITE WASTEWATER SYSTEM
c)wnw.. Applicant:
Address: Date Evaluated: \
Proposed Facility: 1-, aq~oo,~,ra~. _Design Flow (.1949): ~tYO )
Property Size:
JF'
Location of Site: Property Recorded:
Water Supply: ❑ Public ❑ Individual ❑ Well ❑ ❑ Spring ❑ Other
Evaluation Method: ❑ Auger Boring ❑ Pit cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
1940
i
d
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
.m
sc~pe
Position/
Slope
Homan
Depth
(ln.)
.1941
smxt ro/
Tudors
.1941
Consistence
mineralogy
.1942
Soil
wetness/
Color
.1943
soil
IN.
.1956
Sapro
Class
.1944
PC&
Hosiz
~~w
5
~I=tL N~~
Description
o r_r-n
Other Factors (.1946
Site Classification (.1948): 5
Evaluated By:
Others Present: -
Profile
Class
LTA
-'j~
.y