IPACHTE# cc-s-o,a Harnett County Department of Public Health 2 5 7 5 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: RoSS~~s~(c~P,~~
ISSUED TO: 1--t= C\G\o ~~N SUBDIVISION Rose V rctng. o LOT #
NEW, REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ri eyry , ~ 0 I E (N 11~ G
Proposed Wastewater System Type: Co~rvE~{T\Ot sNL.
Projected Daily Flow: U"i<~ 0 GPD
Number of bedrooms: 4 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 '~4 Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: W 2.-1 0~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce 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, 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, AM, .1954, .1955, .1956, AM, .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: LAS ~G~~ C_a cam` S Os y
facility Type: MP,a New
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes
Type of Wastewater System** C-0 "y &'r S \ 0 r- D-~;-
(See note below, if applicable
PROPERTY LOCATION:
SUBDIVISION 26s&rn_ P .~tng" C~ LOT # I.
❑ Expansion ❑ Repair
No
C.,o "-v 6 r+. \ C) tit E-'l- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size b o ci gallons Exact length of each trench C7 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. !2~inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
(Initial) Wastewater Flow: %Cj GPD
Trench Spacing: feet on Center
Soil Cover: S-JI, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
l~ inches below pipe
Conditions: \"\v G~
1 Q M SFl INC S75 ~ Er\ ~ a
Aggregate Depth:
, Lr T \ Es
C) inches above pipe
inches total
1 1211-
r)N~t '~-7 Ck-0 Pl, Q5 1N,~\t~~
«L V_UVl\,2 P«~AS
_
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the .specifications of this permit
Owner/Legal Representative Signature: Date:
11 ,„l I^= rya,, rati u-titu - 'nqn lilt tumuuuion Aumorizaoon span not oe transterreo when mere is a change in ownership of the site. This
Construction Authorization is suhject to compliance v th fl* oils 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: io ~7 0~
-'Instruction Authorization Expiration Date: 1c)a )1*~
HTE# Cf~ - Permit # ` 154
Harnett County Depal-tlnent of Public Health
AP Sketch
PROPERTY LOCATON: RosSfv- ~ ~4e~C~" «9
ISSUED TO: SUBDIVISION LOT # S
Authorized State Agent: ~'-~~~-'ToucspUn~ Date: ~G 3~1 a~
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOaJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
owner. Applicant:
Address: Date Evaluated:
Proposed Facility: +~d^~--Design Flow (.1949)
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:
❑ Slag ❑ Other
cut
Milted
P
R
O
F
I
1940
OIL MORPHOLAOY
.1941
THER
PROFILE FACTORS
L
E
#
L mWswpe
Position/
Slope %
Harizae
Depth
(In.)
.1941
sttuc h"
Text w
.1941
Comistaece
Mineralm
.1941
soil
webmw
Color
.1943
Soil
.19%
SWO
Class
.1944
Reair
Horiz
Pro81e
Close
& LTAR
\Jf~ Q-
G. S
J F2 ~5~^(C
Description
vial
s °t
Repeir Sys
Other Factors (.1946
Site Classification (
1948r
AvoiLble Spikes .1943
.
E
l
t
d B
-
a
System !YL*-
aL'tied
u
va
ua
e
y:<~
\
Oth
P
t
i
Site LTAR
resen
ers
:
tom.', Q 0-
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