IPACHTE# Harnett County Department of Public Health 2 5 91 2
Im rovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: rocs Q.o QM y~4 y L-, )
ISSUED TO: LLo ~vN.o2 C~c~G~~ SUBDIVISION N •~t c~e~ LOT # _.V5
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: rn v.c ~prn C: (16"'x~ a'
Proposed Wastewater System Type: Gor•rv,F-rs: ~ or-4
t
Projected Daily Flow: 3(00 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X
Pump Required: ❑Yes "~No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for.- ~ Five years
Permit conditions:
❑ No expiration
Authorized State Agent;: ~ Date: 3 4 la SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a 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 taws 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, ASS, .1956, .1951, .1958, and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in accordance
with the attached system layout.
ISSUED TO: ~-t-o--►p ~yrc.orL ~o~ PROPERTY LOCATION: 5~~~,s CMvaptiyt
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System' C. ~-J Gov or-4 tom- (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
a r~ty Erv i to r c t_ (Repair)
Installation Requirements/Conditions Number of trenches --a_
Septic Tank Size taco G gallons Exact length of each trench 50 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. WA inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM ~o inches below pipe
N Aggregate Depth: Z inches above pipe
Conditions: ~c•~ 1..~NCC Mvs-c gC ~'izatY. Stp-'C' LS )5rr= rn o
inches total
1 ~~ctrop.c O AL- 0a- ~A~ AaEP~
**If applicable: l understand the system type specified is different from the type specifed on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is revocation if the site plan, plat or the intended use changes. The Construction Rurhorization shall not be transferred when there is a change in ownership of the site. This
Construction Authomat on is subject to compliant roof the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1A
truction Authorization Expiration Date:
HTE# \Q-S- a3-7119
Harnett County Department
Site Sketch.
Permit # X91
of 1-~-tblic Health
PROPERTY LOCATON:_ QocS QcJ ~~`1vn~lay L~J
ISSUED TO: L.L~o~ ~o~ GEC SUBDIVISION LOT # YS
Authorized State Agent: P~HS CouvEr1 %O2-*sC7~jCtF Date: 3 11~ 0
ltd d
15c) ,
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: A1+0
Proposed Facility: sf~ c Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
Other
P
R
O
F
I
1940
SOIL MORPHOLOGY OTHER
.
L Lamisc"
Horizon
.1941 PROFILE FACTORS
E Position/
# Slope %
Depth
)
(In
.1942
.1941 .1941 Soil .1943
sb
/
t
.1936
.1944 Profile
.
uc
ur+e
Consistence Wetness/ Soil
Texture minemlolty Color IN
Sopro
Re& Class
.
Class
Horiz do LTAR
Q) 141
~
s e1r fZ rSs 1~t,S
S 6
3
0,,LN
v~r ~t. sus
s
~
G 5 VF2) s P
5
G
5 V FtL
Description
Initial
Repair System Other Factors (.1946):
Available S cc .1943
S
Site Classification (.1948): 5
S stem s
,
Evaluated By:
Site LTAR
Others Present: _