IPACHTE# 009- 500-t~~ u -13 Harnett County Department of Public Health 2 5 2 3 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: oV e D~J. SUBDIVISION c. c LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements require prior to Construction Authorization Issuance:
Type of Structure: ~0-=_y~C (a - (C
Proposed Wastewater System T pe: (~hr-!1~ f~21 (lc c 5~5
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: ~l max
Basement ❑Yes `0No
Pump Required: ❑Yes ❑ No /,May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~Z- Public ❑l Well Distance from well 10 feet Permit valid for. Five years
Permit conditions: anz- ' r 11A
A ~hA11vt~l ❑ No expiration
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Authorized State Agent:I Date: D C SEE ATTACHED SITE SKETCH 1) 4c . 6 a„t
The issuance of this permit 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, pla4 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 TO: AL&I'tr NV PROPERTY LOCATION: 13
SUBDIVISION r G LOT #
Facility Type: S--FO- 3S -XG3- 3Q(L CL4;-C1ewG J Expansion ❑ Repair
Basement? ❑ Yes -No Basement Fixtures? ❑ Yes
Type of Wastewater System** ~v --s 'ZS J ic~~ c 3 , ',d,)C " (Initial) Wastewater Flow: 3w GPD
(See note below, if applicablej4
5``11 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size o 0 J gallons Exact length of each trench 3 feet Trench Spacing: ~T Feet on Center
Pump Tank Size Q J J gallons Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of 19 -a Y 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
"*If applicable: /understand the system type specified is dilferent from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authnmatinn it mhwr to rnvnnrinn if ehe rfen oleo elegy e..6,. L..,....L.d
_ - r ..6, . ,,n,,,, ,e'en no, - tea acueu mien weft n a mange in ownership of me site. mis
Construction Authorization is subject to compliance 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: ~c/ Date: 0) --3J-0
Construction Authorization Expiration Date: DI-33 -
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HTE# Permit # L-;)So?3,S
Harnett Connty Department of 11~iblic Health
Site Sketch
PROPERTY
VIS ON N. Ste{ n LOT #
ISSUED T0: (A ~ C klyi SUBDIVISION
Authorized State Agent: Date: C~ 20 - j
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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: 0 '2 Applicant:
Address: J
Date Evaluated:
Proposed Facility: F n Design Flow (.1949):
Property Size:
Location of Site: 0 f Property Recorded:
Water Supply: ubiic [ J Individual [ j Well [ J Spring [ j Other
Evaluation Method: uger Boring [ J Pit [ j Cut
Type of Wastewater: I }Sewage [ J Industrial Process (J Mixed
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SOIL MORPHOLOGY'
.1941
t. OTHER
PROFILE FACTORS
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#
.194U
Landscape
Position/
Slope%
Horizon
Depth
1941
Structurel`
Texture
1941
Conslsterxe
Mineral
ogy
4942.
Sol{ } r
WetneseJ°f~<<
Color,
1943`
Soll-,r
~
pth:(IN.)
956,
; Sapr~'
lass
1944
~2estr':
i Flo
Profile, r r r
Class ;y
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Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: 9 Others Present: 1