IPACHTE# 01 41 Harnett County Department of Public Health 2 5 2 2 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCQON: 1 \
ISSUED TO: ' _5 SUBDIVISION J ak 1t LOT # 20
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1( It { I~f x j a t
Proposed Wastewater System Type: _r'
Projected Daily Flow: 3 rL C GPD
Number of bedrooms: a.~ Number of Occupants: max
Basement ❑Yes tK No
Pump Required: ❑Yes ❑ No -May be required based on final location and elevations of facilities
Type of Water SupkAc' Communit y ~ Public Well Distance from well c~ feet ermit valid for. Five years
P_ tnit conyditions: oJy) Y1f f'~/ ~ ❑ No expiration
.tsL - Wit. (-V- Cy!r' ;,ek L.,61 re rill't-,:q
Authorized State Agent:: -7 Date: `e-:9 - v - SEE ATTACHED SITE SKETCH
The issuance of this permit by the ealth Department in no way guarantees the issuance 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 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: { . k ~1 f'7rit~ 1c PROPERTY LOCATION:
SUBDIVISION tt "L LOT # -20
Facility Type: yy, New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'J;~ No Basement Fixtures? ❑ Yes Or O No
Type of Wastewater System** r'- nice`' (Initial) Wastewater Flow: GPD
(See note below, if applicable']) .
r"', t t (Repair)
Installation Requirements/Conditions Number of trenc es
Septic Tank Size L ti gallons Exact length of each trench _ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 19 inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
`Z inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the speci&ations of this 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 ownership of the site. This
Construction Authorization is subject to
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Dater- v
Construction Authorization Expiration Date:' -
HTE# ( c1 "-5-0(-;*-- 7 Permit # 62'51X-7
Harnett County Department of Public Health
)ite ketch
PROPERTY LOCATON: 1
ISSUED TO: , r SUBDIVISION ^ L, J4 LOT # 2
Authorized State Agent:. Date: 7
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: /
j (v
Proposed Facility: Design Flow(. 1949):
1
Location of Site: t l k
Water Supply: Public Individual [ J Well
Evaluation Method: J~fAuger Boring [ ] Pit
Type of Wastewater: VSewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( ] Spring
[ ] Cut
( j Mixed
[ ] Other
P
R
p
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
`
r;
L'
E'
#
1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
1956
Sapro
Class
.1944
Restr
Horiz
Profile;:
Class
& LTAR
t !
V
t
59 L
f`
l
Description
Initial Sy em
Repair System
Available Space (.1945)
System Type(s)
nv
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Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: 1 \
Others Present: