IPACCounty HTE#- Harnett Department , Public I I:
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�j PROPERTY LOCATION: NCQa- ds
ISSUED TO: GAY � l f''\OS(3W pt1,r---5' SUBDIVISION G vita a oR.KS LOT #
NEW �' REPAIR I NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 55:: 56x I
Proposed Wastewater System Type: 70 R ouC -fit 0-N
Projected Daily Flow: 3 fo® GPD
Number of bedrooms: > Number of Occupants: C- max
Basement ❑Yes No
Pump Required: ❑Yes tZNo ❑ May be required based on final location and elevations of facilities
Type of Water -Supt ❑ Community '15ie, Public ❑ Well Distance from well 1 0 feet
Permit conditions:
Permit valid for:
XFive years
❑ No expiration
Authorized State Agent.: ®` Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance of other permits. The permit holder is resp 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 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)
ermit)
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: GA2- R��1 sow �-�o• �,�5 PROPERTY LOCATION: NG--�-1CL5
SUBDIVISION G Q>i;, 5 LOT #
Facility Type: 570 �So 2`� 6� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement {Fixtures? ❑ Yes No
Type of Wastewater System (Initial) Wastewater Flow: �oC5 GPD
(See note below, if applicable ❑)
a57- (�-tv 5 yS I ��� (Repair)
Installation Requirements /Conditions Number of trenches 6
Septic Tank Size ! g o O gallons Exact length of each trench Q'S- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- �� inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: C� Feet on Center
Soil Cover: (o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: Saff. �3o tti <„ C)N S ��, �G
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specified is different from the type specified on the application. !accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is s to revocation if the site plan plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorization is subjertt�smpliance wi Ohlllof iws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: \ " t2v Date: 1 :A1 1 ? 3
Constr Authorization Expiration Date:
HTE# Permit # QQ5 5 9 S
ISSUED TO:
Authorized State Agent:
H(arnett County Department of Miblic Health
Site sketch
PROPERTY LOCATON: N 05
SUBDIVISION LOT
6wo-(, --ro'.1Z�} e- Date: ) Q )� q
Co rnr\t N D
0 Vy
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:
Proposed Facility: 3 bUr, Design Flow(. 1949): X60
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Augq Boring ❑ Pit ❑ Cut
Type of Wastewater: Q<Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN .)
.1956
Sapro
Class
.1944
Restr
Horiz
L5
&&JZ
a
v- is
V
4�
S 5f,1_
�— s
7r>�)2% do
'.
io
Description
Initial
Systerp
Repair System
Other Factors (.1946):
Site Classification (.1948): 4?.5'
Evaluated By: rv�
Others Present:
Available Space(. 1945)
System
Site LTAR