IPACHTE# 10-5-aL 15(-3 Harnett County Department of Public Health 26133
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N uti~Fy Cho
ISSUED T0: cl~'-i s N G-s5 vb.-4o . SUBDIVISION LOT # 147
NEW ' REPAIR El E~+NSION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO ( n5;1 )
Proposed Wastewater System Type: '*Jo R£S.'~u(zA \n t4 V
Projected Daily Flow: L)i3 C) GPD
Number of bedrooms: 1-A Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `~4 Public ❑ Well Distance from well T)O feet Permit valid for. Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent: - -;i ~\ys Date: N
-1 LP SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder is res onsible 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, .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 TO: C' Pv rt~ss ~-o, ~D EY PROPERTY LOCATION: ~~25EtLy r~
SUBDIVISION W ovaS~~(t LOT # \V
Facility Type: SC-O ^y`~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -F?< No Basement Fixtures? ❑ Yes( No
Type of Wastewater System' a- a S~C;~) uerC tQ ri 5 7C-Z'~ (Initial) Wastewater Flow: y y GPD
(See note below, if applicable
a>Z°Id
A.eJ'.iUC;S-N S`~s G-rte (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 4bO gallons
Exact length of each trench Sb feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of- "~LA inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Its ( ~)E>4T' 1,c- S-Is ; c r, r\
ONA-a't clC2 V-WPct
Trench Spacing: Feet on Center
Soil Cover 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
negate Depth: Inches above pipe
inches total
`*If applicable: / anderrtand the system type specifed is different from the type specified on the app/ication. / accept the rpeciftcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authornitinn is <nhiort to ro if the .
- - . r -a, r- -o-uwn amhuncauun shall not oe transierrea when there is a change in ownership of the site. This
-Construction Authorization is subje compliance witje p o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 17 1
Constr n Authorization Expiration Date: 6
HTE# Permit # X133
Harnett County Department of 11~ blic Health
Site sketch
PROPERTY LOCATON: yctsErLy q-D
ISSUED TO: C A~ c cc- SUBDIVISION atloS~~cz.E LOT # 18$
Authorized State Agent: Q~ Date: 11`T 1 1 tj
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: (o >
Proposed Facility: Li eEszAW r- Design Flow (.1940: y
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: uger Boring El Pit 11
Type of Wastewater: ge ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Text"o
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAAR
Ntvm N`)1JQ
' p
Description
Initial
S st
Repair System
Other Factors (.1946):
Site Classification (
1948)5
Available Space .1943
_
.
Evaluated B
:O
System Type(s
,o
- 9W
y
Others Prese
t: -
Site LTAR
I V
n
3 ~S~'