IPACHTE# O Qi ~D Harnett County Department of Public Health 2 5 2 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCAT N
ISSUED TO: -.34A SUBDIVISION LOT #
NEWS REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: FO- 5'b Ga
Proposed Wastewater System Type: J -J,
Projected Daily Flow: V e GPD
Number of bedroams: L4
Basement ❑Yes 1 No
Pump Required: ❑Yes ❑ No
Type of Water Supp1 ❑ Community
Permit conditions: Air'fi Oll_S t
Number of Occupants: 2 max
May be required based on final location and elevations of facilities
Public ❑ Well Distances from well "r )fe
r r,-N A(
LJ
Permit valid for: ~6ive years
OcJ A f- ❑ No expiration
Authorized State Agent:: ( Date: OZ - o ' ~ `j SEE ATTACHED SITE SKETCH
The issuance of this permit by d7It'r Health 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: L( (:A S PROPERTY LOCH ON:
SUBDIVISION rr2.S,ls ~f j) LOT # -7
Facility Type: St D- 5 `f S~ &L New ❑ Expansion ❑ Repair
Basement? ❑ Yes J4, No Basement Fixtures? ❑ Yes o
Type of Wastewater System** rA J, Sc., r (Initial) Wastewater Flow: Y 9 GPD
(See note below, if applicable f 4
d A- -/3 &A-d- J~, I ~_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench -393 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c7- Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / underrtand the system type specified is different from the type specifed on the app/ication. / accept the speciAwionr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian. nlat. or the intended usr rhanum Tha (nn, rurtinn Lt6 n-ti- t611 not he t-f-.oa whin t6a.. , .h'.- --k;. „r .k. ik;.
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: 0" Date: 02-0'3- 0
Construction Authorization Expiration Date. 2- 0'3 aOly
HTE# 05- ~OD Hf 7 Permit # 2 0,3
Harnett County Department of ll ~tblic Health
Site Sketch
/tom PROPERTY LOCATON: a J
ISSUED T0: t+ ZI/1C~S SUBDIVISION S,rnm2(N LOT #
Authorized State Agent: ac"r- ()Z3AZ
Date: 2 C) 3- 3 I
Mq ,,4A, v-, Apt stfi
P~ I/,,3Lj R4 (2 o~ hc~- Whcrc- S~vaurt
e4 I8,
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. t^ SJO- Applicant:
Address:
Proposed Facility: Design Flow (.1949): V_~
Location of Site: U
Water Supply: Public [ ] Individual [ ] Well
Evaluation Method: b.,fAuger Boring Pit
Type of Wastewater. L 1 Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
[ ] Cut
[ ] Mixed
[ ] Other
P
o
SOIL MORPHOLOGY
1941.
OTHER
PROFILE FACTOR&'."
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
Sapro
Glass
.1944
Restr
Horiz
Profile
Class
& LTAR
o-
~2J %I-
eft
(C
L
~
7- TL
J( G!
! q L
32
-W III J6 C,
J flo
Do
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946)
Site Classification (.1948): 6f
Evaluated By9
Others Present:
;A~,,2 ~k (y/