IPACHTE#M--5-D'09D'~8 Harnett County Department of Public Health 2 51 7 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~Q I
ISSUED TO: P-0 e%L-iL7 ' y~EL )UM*WNL'iiy TlaA sch1 e- y. e-*r, LOT #
NEW REPAIR ❑ EXPANSION ❑ AIKA Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~RYC ern E
"`mod
Proposed Wastewater System Type: Cu-f ~ o C~~vL~;«~~t t
Projected Daily Flow, DO
GPD
Number of bedrooms: -
Number of Occupants: L C~ max
Basement []Yes
N,No
Pump Required, Yes ❑ No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
i~ Public ❑ Well Distance from well VOA feet
Permit conditions:
aid .1t >_-o V
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: FL
The issuance of this permit by the Health Department in no way guarantees the once
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: r 16 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Yemeni Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: NP'-J LO(-Z_ PROPERTY LOCATION: War ~aZ~*~
SUBDIVISION LOT #
Facility Type: C50 xti New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" f, C' ,y p L (Initial) Wastewater Flow: d l ~ GPD
(See note below, if applicable
('0 \ 0
r ryF \,I " ' i- (Repair)
Installation Requirements/Conditions
Number of trenches t O
Septic Tank Size D."10-0
gallons
Exact length of each trench t`b0 feet
Pump Tank Size ~C)
gallons
Trenches shall be installed on contour at a
Gs-L
1~0 C)
"5
Maximum Trench Depth of. f'Z '3G inches
~
'mow A4S h Ps~-i- ~'~A~ W-~S [r,^t•-.`
~Id tw
(Trench bottoms shall be level to +/-1/4"
.
in all directions)
Pump Requirements:
ft. TDH vs.
GPM
Conditions:
10 ~ANI~6Ln C#2 nAv(y,T [-E Q~ O,u iQJ-D 3 S U
S,7.6 I ~ f-,~tat_.~En F~:
Trench Spacing: I Feet on Center
Soil Cover. C:, - i8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
ht c), inches total
tFs! ~ L-~"0 S~r~--
""If applicable: / understand the system type specified is different from the type specified on the 7pp11c,7von. / accept the rpeci6cations of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershiD of the site. This
[onstruction Authorization is subs `to compliance - the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: " : V.s Date: tiN o
Co uction Authorization Expiration Da- 41
te:
HTE# CY~-5-Dj~~1~b Permit #
Harnett ("ounty Department of Public Health
Site Sketch
PROPERTY LOCATOR: 40\ t~ca-1H
ISSUED TO: Roams Ct_ SU~~ I y --i'cLds o-, t d +~V, C`Fr . LOT #
_ A eft
Authorized State Agent ~~~tx w~~o~KSC Date:
`~1oap~~~
r16 '~.0~3 I
L 1.. Amt o u -\C, F~[-
LLD
p-
PLA)Ggr)U!~~ 4
-
L.ocn
N c ~
A(tEh
ACLU J L
30-) '
~►as `
US N\yV L~i~i,1 ~qY
ueparmlem O1 Clwuunniem, nealul, aliu ivat-
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: Vi Q Design Flow (.1949): ? ! CiC
Location of Site: o c ¢ LC
Water Supply: ``[xPublic [ J Individual [ ] Well
Evaluation Method: 'Auger Boring Pit
Type of Wastewater: 'J). ewage [ ] Industrial Process
P
Date Evaluated:f)-~ -fl^
Property Size: "I! 9)Q9
Property Recorded:
[ j Spring Other
[ j Cut
(J Mixed
P
R
p
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS-
'
r
L'
E
#
1940
Landscape
.Positlon/..
Slope%-
Horizon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
..1956
Sapra
Class
.1944
Restr
Hodz
r'
Profile
(i4
Class s
& LTAEt
ix-
r y
S1
SAS
0
'7
✓e4
'4
2 -`jjCj
51 f
`pf 1
~b
J
6-
A/ V
l.lSf/ r
15-6
-4~+
1
s P
Psi
)
59Kr-)c ~
-s`
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
JI-e ~u V.
Site LTAR
I
7
1
Other Factors (.1946):
Site Classification (.1948): f5
Evaluated By: OT- d' /3'-1
Others Present:
~~°d 1 3`\ P~ m~N. VM ;Z69