IPACHTE# M- 5-_,~ 5-_:~ Harnett County Department of Public Health 25173
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L--P15o , E2
ISSUED TO: ~~Lt^~~T d OLD t ~o~t g y "s L 4~ SUBDIVISION "44 a t U Gszc I F_ LOT #
NEW REPAIR E NSIOXP~ N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VC <7~ 4 x~3
Proposed Wastewater System Type: wvc ~or~ t
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \t)U feet Permit valid for. Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent::` t ~1 OS Date: ",)d °i 10 ?1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua _1 other permits. The permit holde- r isresponsible 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: 7X_5~6TJ 91~) vil-D PROPERTY LOCATION:
SUBDIVISION W t\L-N1 Gov C-. LOT # 3
Facility Type: ~ New El Expansion E] Repair
Basement? ❑ Yes X No Basement Fixtures? ❑Yes ~No
Type of Wastewater System"
C.a ~ ~a~-,n ~ U r,5 fa t..
(See note below, if applicable
C-"vF_i-~-, ~cS i (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I o0o
gallons Exact length of each trench S 01Z) feet
Pump Tank Size
gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3o aC7 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
ft. TDH vs. GPM
(Initial) Wastewater Flow: UO GPD
Trench Spacing: Feet on Center
Soil Cover: i% inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
A regate Depth:
Conditions: PL v cnc3lN 6 T,~, VDI S; u~c
G inches below pipe
inches above pipe
inches total
""If applicable: / understand the swem type specified /f different from the type specified on the application. / accept the rpeciflnmlronr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rexQption if the site pla , ta 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 sct to compliance wt e e and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ~ 121 01"
Constru Authorization Expiration Date: a
HTE# X53 Permit # Q-, ~
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: L- q EsL Rfl
ISSUED T0: SUBDIVISION v,At,I{,Ln Gaoy[; LOT # 3
Authorized State Agenr („orav ~ c3~ Date: Q11 I n
t
7
t 7
V
1
O
M
6vD~ LA
oo->V
.a
N
V
0
V
3
- - 01lcm,
Division of Environmental Health Property ID:
On-site Wastewater Section Lot F
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 3f,,Jon
Proposed Facility: Ell Ott Design Flow(. 1949): 36 C) ~P d Property Size:
Location of Site: Property Recorded:
Water Supply: Public [ j Individual ( I Well I I Spring [ 1 Other
Evaluation Method: Auger Boring [ j Pit [ j Cut
Type of Wastewater: 1 Sewage [ ] Industrial Process [ ] Mixed
X
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
. ; PROFILP_'FACTORS: ,
L
E
#
.1940
Landscape
Position
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapra
Class
1944
Restr
Horiz
Profile
Class
& LTAR
c
.y
r
~
Ps
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Cc> r >
Site LTAR
~
L}
Other Factors (.1946): _
Site Classification (.1948): f3
Evaluated By: (,'r'S
Others Present: i