IPACHTE# ~oHarnett County Department of Public Health 26001
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~bP-cc-[ V-D
ISSUED T : R vsT~/ Fti.-zt~ E SUBDIVISION Ge~.L. LOT #
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M t,. , )~c,E C-.)-40
Proposed Wastewater System Type: C.,,v.rvE-r,`c or-KL,
Projected Daily Flow: 3 o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
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 y op feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 s0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ermits. 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 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, .1955, .1956, .1957, .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: (~vYiy ~2a LZ~Lt_G PROPERTY LOCATION: ~6EQL<
SUBDIVISION Q) u a, v, CzZr-,1- LOT # 3.9
Farilitv Tvnp• MI-1 . ~vcnE.t ZSd' ►t r-i r..----:-- m
Basement? ❑ Yes H No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Cvt.Ne--mycor4P,t_ (Initial) Wastewater Flow: a~(- GPD
(See note below, if applicable
w Et.• ~1 arv Ps L (R o,,,;,.t
Installation Requirements/Conditions
Septic Tank Size ► y o ° gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions: `4 IxTeQ, Ls
l) -r . LN-rI G5 M."
Number of trenches
Exact length of each trench 2 oG feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. aL} =36 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
ra I
1I- S
Trench Spacing:_ Feet on Center
Soil Cover. 1 -a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
gate Depth: inches above pipe
S~ inches total
**If applicable: / understand the system type specified is different 1/104" the type specified on the app/ication. / accept the soec&cationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the.5kplan, 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 suhj It to ct) ~ 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
Cons ction Authorization Expiration Date:
HTE# Ce Permit # a-6oo l
Harnett County Wpartment of 1'~iblic Health
Site ketch
PROPERTY LOCATON: Ro xi
ISSUED TO: 2V ~'a,~ zC_t,LC SUBDIVISION Q ~c.L ~ Ex- LOT #
Authorized State Agent: ~S oUvE1LiQLVC3wtt~ Date: 3t ko
4(.0
400
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOUJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: ' Date Evaluated:
Proposed Facility: 3gua~ Design Flow (.1949): 4
Location of Site: Property Recorded:
Water Suppty: Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
L
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORs
E
#
landscape
Position/
Slope's
LS
Horizon
Depth
(IL)
.1941
Strwo"
Tenure
.1941
Consistence
Minenlo
.1941
soil
wetnau/
Color
.1943
soil
DW& IN.
.1936
SWO
Cl,w
.1944
Rc*
Honz
PrMile
Ctass
LTAR
C)
E
;
a,i6
G s
2
P6Wti
S~
xeP~ ~3' Otha Factors I W
3 Site Classification (.1948 93
Evaluated 13y~
f Others Present: