IPACHTE#0't - S_Q0cl~4_7 " Harnett County Department of Public Health 2 5 2 3 6
Improvement Permit
9AVe
A building permit cannot be issued with only an Improvement Permit
LJL PROPERTY LOCATION: 1~
ISSUED TO:
► JCV~ SUBDIVISION U11 c IC C LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements require prior to Construction Authorization Issuance:
Type of Structure: X_ 3 2
Proposed Wastewater System Type: z _y ~ 4,,
Projected Daily Flow: S G0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 2( No
Pump Required: ❑Yes ❑ No `May be required based on final location and elevations of facilities
Type of Water Supply: ❑ C mmunity 5- Publ c ❑ Well Distance fro well 1 fe
Permit conditipns J[~ r7 S T
C_
4 Drkkh
Permit valid for. 39 Five years
oW t4+ , ❑ No exairai
Authorized State Agent-.: Date: O 1- 33 c `7 SEE ATTACHED SITE SKETCH
The issuance of this permit by then Ith 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, .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: VeAV(r PROPERTY LOCATION: I 1
SUBDIVISION ~/~Sc~f q~ LOT #
Facility Type: 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? KJ Yes -;a No
Type of Wastewater System** (Initial) Wastewater Flow: 3~3 GPD
(See note below, if applicable IF)
Rk M~f} t- 2~ 1, 12ecr`~ cb-, 5'_(Repair)
Installation Requirements/Conditions Number of trenches -
Septic Tank Size 10c,0 gallons Exact length of each trench YS~ feet Trench Spacing: Feet on Center
Pump Tank Size 00-> gallonr~j Trenches shall be installed on contour at a Soil Cover inches
~c«(< Maximum Trench Depth of: fd' - a `F 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 ryrtem type .rpeciped it different from the type ,rpeci6ed on the app&3tW. /accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization k subiort trn rnvnrati- ;f th, d« ~J- ~t~t - tt,o n.
>m-u nunn were is a mange in ownersnip of the site. tms
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: Date: 0
Construction Authorization Expiration Date:
HTE# 'D 475 Permit # _ Sd33 -
Harnett County Department of Public Health
SAP Sketch
L~
ISSUED TO:
Authorized State Agent:
1
PROPERTY LOCATON: //37
_ SUBDIVISION ice, S~ 4 G LOT #
Date:
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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: ~--c~ v S Applicant:
Address: n Date Evaluated:
Proposed Facility: C4 / Design Flow (.1949):3 Property Size:
Location of Site: of Property Recorded:
Water Supply: ,[/'Public Individual [ ] Well (j Spring
Evaluation Method: yA uger Boring [ ] Pit [ ] Cut
Type of Wastewater: Sewage [ j Industrial Process Mixed
[ j Other
P
R
o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
1942
Soil -
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapra
Class
1944
Restr
Horiz
`
Profile-,
Classc
LTAR '
, _
/ _
G
~
T.
t, r C L
f
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Z
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: 9 L_J~
Others Present: