IPACHTE# 10-5- ~ Harnett County Department of Public Health 2 5 9 2 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r~ PROPERTY LOCATION: LEr QLL-
ISSUED TO: ~lyl~ Wr'c2vcrCo(} 5 C, SUBDIVISION r~onC-s, C'>a LOT #
NEWX REPAIR ❑ EX SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~:~ ~30,
Proposed Wastewater System Type:
Projected Daily Flow: G PD Ge, -J e , s P, L--
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes XNo
Pump Required: ❑Yes 'X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 504 feet Permit valid for: Five years
Permit conditions: s ❑ No expiration
Authorized State Agent.: Date: Ahol spo.nsbl, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the of other permits. The prmir 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:
Lsr-vs--
/
-
SUBDIVISION ~'oo
0)c.~S LOT # 132.
e: S C3~
;A- 7~
Facilit
T
y
yp
, New ❑ Expansion ❑
Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System**
C-ONVE,r ~\W(v
a-41mtial) Wastewater Flow: 3C0 GPD
(See note below, if applicable
Cam o
(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size k5 c )O gallons
Exact length of each trench 11CO
feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: 1 a inches
Maximum Trench Depth of: a~
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 i e
pP
Aggregate Depth: a, inches above pipe
Conditions: W;tEc21 inches total
O N ~ N4 N7 ~ e - o 2 9-ER P~~ a-- IJ'
**If applicable: /understand the system type specified is different from the type specified on the app/ication, / accept the specill'wionr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is su revocation 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 subject-to compliancI e wit i~ v 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: 3 Xo
Con tion Authorization Expiration Date:
HTE# 10-5-Permit # a5`j
Harnett County Department of ll> tblic Health
Site sketch
PROPERTY LOCATON: L-S~L'G. ~wPc*_
ISSUED T0: aUC, pq_S SUBDIVISION Fo Of,QN3 LOT # 1',2,
Authorized State Agent: L-llJF2'+ oL~O(Z Date: b
~a5
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSTTE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code.
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Prop" Recorded:
Water Supply: ❑ Public ❑ Individual ❑ Well ❑ Slning ❑ Other
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Curt
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑ Mixed
R
O
F
SOIL MORPHOLOGY
I
.1940
.1941
L
H
i
zon
or
E
Position/
Depth
.1941 .1941
ak
slops %
(In.)
StructQmal Cuusido e
Ted Minanlo
l
~s
10- )-SY(
(j,
G 5 v~R ~sl~w
Soil
wetnew
i Repair System Other Factors (.1946):
Site Classification (.1948r P5
Evaluated By: p,~
ti Others Present:
3 l CXJ ~ "
OTHER
LE FAC
.1943
Soil
.1936
C
.1944 I PMMM
Restr Ciao
Basis A LTA
P<,