IPACHTE# 0°) - 5' ~b
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: ~S SUBDIVISION i? beR0 r4 Q o LOT # ti LJ
NEW, REPAIR ❑JtPANS10N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5V-0 Proposed Wastewater System Type: C-o-cvEK ~o~rp~L
Projected Daily Flow- 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes A No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well _ k00 feet Permit valid for Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: Date: `3Va1\0"i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss ante of other 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, plak 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: g s- C-LOS-~ \010 -L15
PROPERTY LOCATION:
SUBDIVISION Ph\Cd N S
Facility Type: S New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Ccr,, vCNC\oN Nt..-
(See note below, if applicable
C-o t„ \ n sv p" L- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size yb06 gallons Exact length of each trench 4~ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Yy inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Yds
LOT # \'I_
(Initial) Wastewater Flow: 3 ~ Q GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM (s, inches below pipe
Aggregate Depth: inches above pipe
Conditions: W Prct Z, crc r1 vS-t BE br S GQ s~ SYSSErn • 1~ o U C s t s - 1Z inches total
_V p`') Cat of 1 1 0 J \v T'C.Tau_ can, V.U",a-
*If applicable: /understand the system type specified is dihrerent from the type specified on the app/ication. / accept the spec1T1c3tionr of this permit.
Owner/Legal Representative Signature: Date: intencea
use
Lonstruct
ATTACHED eSIsite. This
ansferred Construction `AuthorizationdisUSUb~toccomplevocanon iips¢esons of'theoLawseand Rules for Sewaga Treatment and'Disposaoandtto thelconditonstrof this Pe mh~n there is a change in
TE SKETCH
Authorized State Agent:
Harnett County Department of Public Health 2 5 6 6 9
Date:
Construction Authorization Expiration Date:
HTE# Permit # Z5CC 5
Harnett County Department of f'ttblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: D1Lt Ito ES SUBDIVISION P TMg Poi LOT # _
Authorized State Agent. PEJ 5 ~ouvfrl ~o~.xsoottf Date: ct ~1 0
TONAL
C', -T
9-u a~ R
1
a'a~o
Putt 10
e
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,51QAC-- 00-
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property H):
On-Site Wastewater Section Lot
File
SORJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility: 3 go RQ ~ -,An 4 Design Flow (.1949): 34 ~ ? Property Size:
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
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Lampe
Position/
Slope's
Horizon
Depth
(In.)
.1941
Structure/
TOO"
.1941
Consistence
Mineralogy
.1941
soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1936
Sapw
Class
.1944
Reatr
Horiz
Profile
Class
~ LTAR
l
L..3
S 3 76
Q
5
vF~ NS~
t
5$ ~C2
F~ 55 j NP
R 5
Description
Initial
s st
Repair System
Other Factors (.1946):
Site Classification (
1948): i'S
Available Space .1943
.
Evaluated B
:
stun Tme(s)
r'
Chu l
y
Oth
P
t
Site LTAR
5
ers
resen
: