IPACHTE# Harnett County Department of Public Health 2 5 6 8 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
\l PROPERTY LOCATION:
ISSUED TO: Cyr, i9 10c `NC SUBDIVISION M
f2E rz v.Hc.H SEc'l LOT # 63
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV O LSO "ny--J
Proposed Wastewater System Type: YuMe-o Co,~ hcspa
Projected Daily flow: 3~a GPD
Number of bedrooms: 3 Number of Occupants: C- max
Basement ❑Yes XNo
Pump Required:'NYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well Log feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: kg!' r SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ~ts. The permit holder is esponsible 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 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~ro2 c~tR.•34 ~~oc-~ ~ \NC' PROPERTY LOCATION:
-`~`•j
SUBDIVISION M 2c~, tbc, a„c,~ LOT #
Facility Type: SFfl ~~A~'\iS;1 New ❑ E
i
❑ R
xpans
on
Basement? F-1 Yes No Basement Fixtures? ❑ Yes 'X No
epair
Type of Wastewater System" Qv me -T, C .o,,,y E--r rc~o ty pa„
(Initial) Wastewater Flow: GPD
(See note below, if applicable 5dlo Q~OV(3V 0N a'
P~ MP~o (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size tM o o gallons Exact length of each trench
feet Trench Spacing: 1 Feet on Center
Pump Tank Size s 000 gallons Trenches shall be installed on contour at a
Soil Cover: 'J l - (4inches
Maximum Trench Depth of. -V--, - ) $
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
6 inches below pipe
Conditions: ~aTt ci L~.~G ~~s; ~CG ~ac
•
SE~-N
S
E
~
~
Q
'
Aggregate Depth: `d inches above pipe
's
x
~
s&
t
1
a
Ys
•
C"C--L0PP0-N O N o0. QEP A\ Q1
n),,st(:,, (
py \a inches total
If applicable: /understand the system type specified is different from the type specified on the app/icafion. / accept the rpeci icavi nr of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is su ~Jeeyocatloo 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 s n ovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: fLEly Date: 1
Construction Authorization Expiration Date:
HTE# 0°1 -S ---Q71 4a. Permit #
Harnett County Departinent of Public Health
Site Sketch
PROPERTY LOCATON: N G'a.^1 W
ISSUED T0: L u ~Or,ES \ 1v L SUBDIVISION (`1 .a 6 g2A~.1U~ LOT
Authorized State Agent: vUis WLwGn "~or.sOor1F Date: to 1 101
tw
PVMP 7
~~vntOVKCti~I~ RfG4'.~2 P~h
So x~-jg'
6 5'
p
45 k
,-~5
Department of Environment Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section ~
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code.
Owner. Applicant:
Address: Date Evaluated:
Proposed FacilitY:3 ~ cc `~C~esign Flow (.1949):
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 Pr
ocess ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I
OTHER
1940
L Landscape Horizon .1941
PROFILE FACTORS
E Position/ Depth .1941 .1941
# Slope % 00 Strucoxw Comaista
.1942
Soil
.1943 .1936
.1944 Profile
ma
Tenure Mime ale
wetme w
Color
sod 3spro
IN. Clan
Reatr Class
Hariz ~ LTAR
tS
l 12" G c 5 Vl 71L_ _lNC
t ~n
1N JY'7'f 1\
O
31f
5 G 5 ~ ~,(~o
s
c
Des
n Initial Repair System Other Factors (.1946).
System Site Classification (.1948):
Ava3 cc .1943
j
Site
LTAR
Evaluated By:
Others Presen t: