IPACHTE# ocAHarnett County Department of Public Health 2 51 9 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-,,-,USi $LP,<--*.
ISSUED TO: H-N ~-oNS-SCtuL-~uo 5 tvC- SUBDIVISION ~rouES-t O arts Pt,3 LOT # 1-101
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F9 L5~ xt stii'~
Proposed Wastewater System Type: C4 Nvt so ,.r P-%L-
Projected Daily Flow: Lt I CD GPD
Number of bedrooms: L+ Number of Occupants: '53 max
Basement ❑Yes XNci
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well IM feet Permit valid for Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: - \V Date: 3 1 lctka'21 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan f other permits. The permit hold r 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 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 T0: H,~~ ~.c+rc}Y2LLC62s INS PROPERTY LOCATION: Lip-,.Er- +~1-F,, ~o
SUBDIVISION V O Pcc,S ~H 3 LOT # S-1°I
Facility Type: SFO(511rA1A New ❑ Expansion ❑ Repair
Basement? ❑ Yes '2~1, No Basement fixtures? ❑ Yes KNo
Type of Wastewater System** Co r,vE~o r.t o,t_ (Initial) Wastewater Flow: 4Q-Q GPD
(See note below, if applicable
c,N Sys r, (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size ►o od gallons Exact length of each trench 2.OO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 30 -1~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TDH vs. GPM
Conditions:
Trench Spacing: "-'I- Feet on Center
Soil Cover: 1$ - 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
G inches below pipe
a inches above pipe
1 inches total
**If applicable: /understand the ry stem type specified it different from the type specified on the app/ication. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revo'nson if the cite elan near nr tho nt-ded A- - Thu r,,.,a..,« ..,u . -.(....J 1 1. I
.,.0..6 ~....~,,...N
Construction Authorization is s b e to compliance the of t s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 45 Date: 3 ~q o~
Constru Authorization Expiration Date: -nl`t t
HTE# O`1-5-'a.~-► ~2. Permit # x.51°13
Harnett County Department of 1- ~iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION ~02E~C 0 5 4H 3 LOT # _
Authorized State Agent: 61-wta- ` ,3LX E)Z Date: 31 - 12 ~`1 °`j1
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: ffiE C)C~ aC~ G Design Flow (.1949): *0 ,
Location of Site:
011t:Ct.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public Individual Well
41 1\
Evaluation Method: Auger Boring [ ] Pit
Type of Wastewater: Sewage [ ] Industrial Process
Date Evaluated: d 19)6P,
Property Size:
Property Recorded:
[ j Spring [ ] Other
[ j Cut
(j Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
I:
L'
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
1942.
Soil
Wetness/'
. Color
1943
Soil
Depth IN.)
.1956
Sapror
Class
..1944`
Restr:
Horiz
Profile
Class.
& LIAR
30
'A st, N P
a-36
G 5
Y~
~ ~
1
D6 -4~
58`~ S I
d c1 ~a~
Cr`r7
G S
s~ '
S
3
_~g
G sv
v ~
•7
Description
Initial ystem
R air System
Available Space (.1945)
System Type(s)
Cvr'
'fa1j
Site LTAR
- 12
f°
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: