IPACHTE# oc►Harnett County Department of Public Health 2 5 6 9 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: $rzsrP.owP,Y to
ISSUED TO: ~ti ~~p.c~ty Moc-'(_ SUBDIVISION LOT #
NEW)< REPAIR ❑ EXPANSION 0 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: t" L An 0L_~_ ~__16
Proposed Wastewater System T pe: C10"14 e_,.rc \ o C -,L-
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes i No
Pump Required: ❑Yes l9 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well d < feet Permit valid for: „Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the iss
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..
S Date: 0~1 SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
gent 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 T0: PROPERTY LOCATION:` .~f P
SUBDIVISION LOT #
Facility Type: t`'la,,4 NkOINCQNA 4`10) New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~Rj No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ~ONVE~.r~~dtvP.L- (Initial) Wastewater Flow: 20) GPD
(See note below, if applicable
Ca I'sysx \.'J tvRL_ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size V oO0 gallons Exact length of each trench % oiz) feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. S "4 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 ~O inches below pipe
Aggregate Depth: a inches above pipe
Conditions: w~~- LA- E- I"ttrst orr\ SEF~~ t, \,\H \ N y 14- inches total
**If applicable: /understand the system type speciled it different from the type speciled on the application. / accept the speciflcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su evocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorizatttlmis ec, to compllte~e wi ro 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: Date: LC
o uction Authorization Expiration Date:
HTE# O°1 Permit # a.S654
Harnett County Department of 1'ablic Health
Site Sketch
PROPERTY LOCATON: a~apAW py
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent <°'-wEn'~ouc«Zy tzL\~5 Date:
C- tv V AL
315
tom'
Pcoaozeo
Cu C un-E la o ~ F 1
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S ~`F`rt (`i S"SPC\ SON ~F-~
Department of Emim nsent, Health and Natural Resourm Sheet:
Division of Environmental Health Property, ID:
On-Site Wastewater Section Lot
File
SOILISITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
owner: Applicant:
Address: Date Evaluated: 10) 40)
Proposed FacilitY:3 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual
Evaluaden Method: Auger Boring ❑ pit
Type of Wastewater. Sewage ❑ Industrial Pro
Property Size:
❑ Well ❑ Spring ❑ Other
0 cut
cess ❑ Mixed
P
R
O
F
1
1940
SOIL, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
t
Position/
Slope 9i
<„S O-6
Horizon
Depth
(IL)
d-~~~
.1941
Struc turef
t~ Texture
L-:~
.1941
Consistence
mineralogy
'4~-4
.1941
Soil
wetnew
Color
.1943
Soil
Depth (IN.)
.1936
Sapro
Clue
.1944
Restr
Hord
Proltie
Clan
A LTAR
t~-3
f- sC,1-
E~2 ss)
PS
~0 - SS3 ~ SGL ~S ~
(~5 • ,
Q~
3 O- G L~ c~SJ
`3~3 P r^
`A Ol L5 YF~1
a~-3a ~s , es
Description Initial Repeir System Other Facttxa (.1946):
°A1 Site ClassifiE~(.1 8r~5
Available 3 .1943
stem a o c a By: 0~
She LTAR L\ Others Present:
3x~O6~ 1g