IPACHTE# a Harnett County Department of Public Health 2 5 9 3 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N
ISSUED TO: C- SUBDIVISION f rl s ~,cyc~
NEW,q REPAIR ❑ EXPION El LOT Site Improvements required prior to Construction Authorization Issuance: :
Type of Structure: 'DVS) QS3 -"-'S
Proposed Wastewater System Type: C0 r- ~4 E~- os 4 t> t*
Projected Daily Flow: 7 C C> GPD
Number of bedrooms: 1,5_ Number of Occupants: max
Basement ❑Yes ANo
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well x-00 feet
Permit valid for: Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: ' S✓~ Date: 3 \CT
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o other 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, .1957, .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:
Facility Type: -XNew
Basement? ❑ Yes '>~\No Basement Fixtures? ❑ Yes
Type of Wastewater System** Ca r-sw Lr4-,~ f cl~ t1
(See note below, if applicable
PROPERTY LOCATION: N Lai
SUBDIVISION V"') sa g.~c LOT #
❑ Expansion ❑ Repair
No
(Initial) Wastewater Flow: GPD
-w \a t jP~L- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 CS (J gallons Exact length of each trench rl C~' feet Trench Spacing: ) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:
inches
Maximum Trench Depth of: -30 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM,
inches below pipe
Conditions: "J L Aggregate Depth: inches above ~ r~ ti ip3 1~` LEl zr\ C.- pipe
~ , ~ inches total
**If applicable: /understand the ryrtem type .rpecl led it different from the type specified on the app/ication. /accept the specifications of this permit.
Owner/Legal Representative ure:
Date:
This Construction Authorization is mbject to revocatm he site plat, or the intended use chan~Treatment struction Authorizat on shall not be transferred when there is a change in ownership of the site. This
[onst Uction Authonzation is s ect compliance the o o Laws and Rules for Sewaand Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ` --4 - iz -.-1Date: ~I ~~0
on Authorization Expiration Dater 3
HTE# Permit # ~S-- (33
Harnett County Department of Mtbl c Health
Site S~ketch
PROPERTY LOCATON:_
ISSUED T0: CVM F~,LaNs~ boa, ~1'4C- SUBDIVISION t' ,gc k- ?cQ, -CkA LOT
Authorized State Agent: Qrc~Glu,46tt-To!_xsnoC~ Date: 3I l`►'SL~
Ya.S
)-15-
5 U NRC7cC'.. 0(-L-
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
on-Site Wastewater Section Property ID:
Lot
SOWSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
owner: Applicant:
Proposed Facility:
ate Evaluated: 3 ) I ra i ~ a
Location of Site:
8n Flow (.1949):36c5 v)o~
Property Record
d
Prop" Size:
Water
Supply
Water Supply Method:
Evaluation
e
:
❑ Individual ❑ Well
~8~
in
❑ S
Type of Wastewater;
Bonn
Sewage 0 g pit cut
Iidu ❑tn'
l
°
p
g pother
a
Nx
❑
ed
P
R
O
F
I
.1940
5OM MORPHOLOGY
L PoatrPa Horizon
E Depth
1941
.1942
1941
PROFILE FORS
# slope % (IL)
.
.1941 soil
Structurd Consistence webmw
Texture Mine
l
1943 .1956
Sod
t 5
~-~Q~~ c
n
o Color
~ 11►s~~P
SWO
caae
r~ I C-~ s
Ps
0-
-46 „ IC,"
S
JC,-L b~
.1944
Re* I Clan •
tW R~ System
Other Factors (.1446):
Site Classification (.1948r S
%r r a, x, E ~By:
Otltas