IPACHTE# Harnett County Department of Public Health 2 5 8 9 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 7.9is12-0"f4w
ISSUED TO: SUBDIVISION Z~ t ~G 9o,M~_ LOT #
NEW)< REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: O 0
Proposed Wastewater System Type: ~ ~ L- r-r a hr c,i
Projected Daily Flow: ?,b 0 GPD
Number of bedrooms: _~5 Number of Occupants: C, max
Basement ❑Yes ~ No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'NZr Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit condition,
❑ No expiration
Authorized State Agent:: C21;~'AS - Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isi e 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 Imps 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 T0: PROPERTY LOCATION: ~SzoYrr,
SUBDIVISION D env \1D P1,mS=~t LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes _>R~ No
Type of Wastewater System** Co-'J _L~s 0 J Ps L (Initial) Wastewater Flow: 36C°r GPD
(See note below, if applicable
"t~~ti ~C~ N t"L (Repair)
Installation Requirements/Conditions Number of trenches t.1
Septic Tank Size 1 OoO gallons Exact length of each trench -I feet Trench Spacing: ei Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C' N4- inches
Maximum Trench Depth of. aLA ` T~ 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: ~vL ~C ~ \~~~rs SCs(3~~» Sy57 L-4- tll\ eG Oax') i~ L LY inches total
G. N -oc ~1 Rrt Cl 1 ~ N t t~ ~s ~ $ C-_ \ " C 2a n s u L-\ sc ~yS ~ rt1
*'If applicable: l understand the system type pecified is different from the type specified an the application. / accept the specifications of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to reVmiatutii 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 su ~compliance he p MkLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: ~~-jt, ~ lC}
Authorization Expiration Date:
HTE# ~CS~S-367 P . # r), S 04q
ermit ~
Harnett County Depailment of Public Health
Site Sketch.
PROPERTY LOCATON:~vv~v~r~ R
ISSUED T0: ~d P~~a SUBDIVISION QAv %o a~~_T3 LOT #
Authorized State Agent ~i1~~ i ~5cx} v Date: AA, 4
1
Departmeriklf Environment, Health and Natural Resources Sheet:
Division of En tal Health Property ID:
On-Site Wastewater bir- Lot
File
SOIIJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: lo
Proposed Facility: 3 0"mA Design Flow ( 1949):3C.q Property Size:
Location of Site: Property Recorded:
Water Supply: rAuger lic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Boring ❑ Pit ❑ Cut
Type of Wastewater: ;emge ❑ Industrial Process ❑ Mixed
P
R
O
F
I
L
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
Landscape
Position/
Slope %
L
Horizon
Depth
(1n.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness!
Color
.1943
Soil
IIY.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
t
S
'1ajd
Oa.3;
C. S L
YFn .a5 ~~tQ
0-40
5
Yr= n cv5''`tQ
Description
initial
Repair system Other Factors (.1946): G
Sit
Cl
ifi
Available Space .1943
k
e
ass
cation (.194$):
S a
cv N Evaluated By;
Site LTAR
,y Others Present:
~ay~r.,Elt V 8~ F~w~ Lw~~a X00 OF ~v5(~MJ