IPACHTE# VaHarnett County Department of Public Health 2 F 0 0 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~ PROPERTY LOCATION: ► , N QE, Ro
ISSUED TO: 1 L L CL P <L-,e- t Lo y"5 S SUBDIVISION PA •v s 01 14'~' LOT #
NEW REPAIR ❑ EXPA,ION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S cV'O CS' 71, 3 ~
Proposed Wastewater System Type: Pv n,e-T a CON-4 E"M\'I"N
Projected Daily Flow: ~v b GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'K No
Pump RequiredXYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "X Public ❑ Well Distance from well LOCH feet Permit valid for. Five years
Permit conditjo ❑ No expiration
Authorized State Agent:: Date:
6 1~
GLC SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ermits. The permit holder res nsible 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 Pe 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 Permtit
The construction and installation requirements of Rules .1950, .1952, .1954, AM, .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 TO: 12, ~~clic womyF PROPERTY LOCATION: ~,NvEt,y
SUBDIVISION ?e5-,\0>JS o1 LOT # 51
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes , No Basement Fixtures? ❑ Yes ;"o
Type of Wastewater System' PU Q o Cat tv ,v i~ Jrr Pc L -
(Initial) Wastewater flow: 3 ~oC7 GPD
(See note below, if applicable _
Tv Me yo )5%, VkEOVG,-yON (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ► b o o gallons Exact length of each trend feet Trench Spacin: Feet on Center
Pump Tank Size d d O gallons Trenches shali be installed on contour at a Soil (over: )a inches
Maximum Trench Depth of. \R -2-y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM h b I
Conditions: Q~ Erg L,,~-
sL- y 1, G;:5 M PG
Aggregate Depth:
C 'bE 1D r~~.ot~.S~~GSyS-~E.~,.1Ja
RGv 1 8 ) w 1 PAL O cz, V\sp 1A.-\ 2
me es a ow pipe
inches above pipe
inches total
**If applicable: /understand the ryrtem type .rpecided is different from the type rpeci6ed an the app/ication. / accept the fpecif1cat1onr of this permit.
Owner/Legal Representative Signature: _
This Construction Authorization is subject to . a if
Construction Authorization is subject to comolianct4mb i
Authorized State Agent:
Date:
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
a the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: y 01
0
Sian Authorization Expiration Date: 6
HTE# I Q - S Permit # a(-OC:)N
Hal-nett Count` Department of Public Health
Site Sketch
ISSUED T0: li~ I LL
Authorized State Agent:
PROPERTY LOCATON: `-T, cS14 1~~
- SUBDIVISION VpTio zv5 Pay etc LOT #
k 5(0L1vE.n N01 < i~ Date: Lk
P 0 me °
Q, c-0 U L't 0 N
56 , A-x /
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5
Department of Environment, Health and Natural Resources Sheep:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner.
Address:
Applicant: y } ~ G
Date Evaluated
.
Proposed Facility: 3ai„Y, Design Flow (.1949): 360 Property Size:
Location of Site:
Property Recorded:
Water Supptp;
M Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evah>a#ion Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Nfixed
P
R
O
F
SOIL MORPHOLOGY OTH
1 .1940
L
ER
.1941 PROFILE FACTOR3
Horizon
E Position/
# slope %
.1941
Depth .1941 .1941 Soil .1943 .1936
00 Shuenrr Co"daoce web"
.1944 Profile
soil Sapro
Texdure Mineralogy Color
DepS IN. Clay
Restr Clap
Hans <R
s a
C~'36 G ~S Ntc2 N5~
BPS.
3~"~ ~y~ F2 5~)s~
r~ ~ G VFe
C) a,G G s
~i5SK 5CL_ ~2 55~5~
1 t-a
DOta'~O°
In" Repair System Other Factors (.19M6~
Available S cs .1943
s 0 Site ClaNification 1948y F5
System Type(s)
Sits LTAR
Evaluated By: U~
Others Prese
t
n
: Paves