IPACHTE#_I oHarnett County Department of Public Health 25910
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_
ISSUED TO: _ My c~ 1 M ac_v S J Gw9 cn „-r-~ SUBDIVISION LOT # \\5
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV~) (L"'- LA_p:)
Proposed Wastewater System Type: CpH4-i sCtio
Projected Daily Flow: 3~0 GPD
Number of bedrooms: -3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well lbc~5 feet Permit valid for Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: ~5 Date: t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references
with the attached system layout.
into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: Mo2y Nlac~ vE1oQn~ S PROPERTY LOCATION: Mp
.~ZYg QO
SUBDIVISION P6N So
Facility Type: 5 VQ (46 ~1 a~ N
❑ E
LOT #
ew
xpansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Corvv6 vatvAL
(Initial) Wastewater flow: 3i 0 GPD
(See note below, if applicable
C-o ",iC_r,,c to r,(r-~- (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size S 0,:50 gallons Exact length of each trench '75 feet
Trench Spacing:
Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: la-S$ inches
Maximum Trench Depth of: Q9-2)0 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
Conditions: G 1-i~E nos i,e_ ~0
Aggregate Depth: a inches above pipe
MP`I ENGCtf}A v~ 1" I-S\PS1_ ocL
11 1E5 S3~ inches total
"If applicable: / anders£and the System type specified /s different from the type specified on the application. / accept the rpec1f1cations of this permit
Owner/legal Representative Signature: Date:
This (onstruction Auth0111a11111'1,1
tf 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
fonzreuction Authorization ist to complian rt o s of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ S Date: 3 11 4 a
ruction Authorization Expiration Date: ?ate
HTE# Q- S- -;,~1 5 Permit # a~lO
narnett County Del}ailment of h blic Hetalth
ite ketch
PROPERTY LOCATON: M Ae,Ns R
ISSUED T0: Mc~, c. v opcY, ; SUBDIVISION ' sYErc-„ap LOT # s
Authorized State Agent: (15L-1 V Ea.- -c(3 ~csfl Date: 3 VH~ %Q)
,
55
y N.~ GP:~ Y,- v--
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: ' a
Proposed Facility: grc~r~oo,~ Design Flow (.1949): ~(-Ot3CO
Location of Site: Property Recorded:
Water Supply: rAuger lic ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit
Type of Wastewater: wage ❑ hwustriai Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
OUL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
LoWscape
Position/
Slope's
o
Horizon
Depth
00
L31~
.1941
Structure/
Texiure
G S
.1941
Consistence
Mineraio
J rr5
1941
Soil
wetnew
Color
.1943
Soil
Depth IN.
.1936
Sapm
Chu
.1944
Restr
Horiz
Profile
Chu
do LTAR
c a
c
J ~P
5
L,u .ajpuuu imtw Repair System Other Factors (.1946).
System Site Classification (.1948):
Available Space .1941 Evaluated By: 0
System Type($) Site LTAR g Others Present