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IPACH T E # Harnett County Department of Public Health 27762 Improvement Permit A building permit cannot be issued with only an Improvement Permit �^ PROPERTY LOCATION: GOY-'S C-"P C-7 ISSUED T0: <;T I Q rt SUBDIVISION a oi7E-gs Z, tJe,f— LOT # NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: PvmP No `,` Zo Y�F-vvc::�e0 -sJ Projected Daily Flow: t+-� d GPD Number of bedrooms: Li Number of Occupants: `� max Basement ❑Yes X No Pump Required�gYes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community V-A X Public ❑ Well Distance from well i O© feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: '1-0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder is 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 Impro ement 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 TO: c>V)C: PROPERTY LOCATION: �6z� Cvt' G-5 SUBDIVISION 'ROETTSQ5 'Q,-\oc.S LOT # Cr4- Facility Type: 5 FO �� ®'7c Q:,0 \X New El Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes �<No Type of Wastewater System ** 9\) m?-7-o 2� °/ a (Initial) Wastewater Flow: 407 GIRD (See note below, if applicable ❑) Pv m9-7b y6 90 (:7)- to � (Repair) Installation Requirements /Conditions Number of trenches_ Septic Tank Size Lr7©® gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Co inches Maximum Trench Depth of. 01, 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 Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total * *If applicable: /understand the system type speciled is different from the type speciTed on the application. l accept the rpecipcationr of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject_ to revocation if mite plan, plat, 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 *s i! compliance ' e prop of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ``�� f49—;1,,5 Date: 12 �4 13 truction Authorization Expiration Date: I-L 7 '9 HTE # I ---"> — � — -2) c A ISSUED TO: Authorized State Agent: Permit # Karnett County Department of I'viblic Health Site Sketch C-01-0 GAP PROPERTY LOCATON: G L--c> cue 6 SUBDIVISION --TkzMtrZZ V-, a GG LOT # RZ -To L V) 0 LZ5) Date: )3 — 3 r' 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: ing'Z 2.F` Design Flow (.1949ONtI3 � Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method'] Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ,-",p Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed 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 Lt Description Initial Systeny Repair System Other Factors (.1946): Site Classification (.1948): 9 5 Evaluated By:Q( Others Present: Available Space (.1945) System T e(s) 53 /c Site LTAR > Lt