IPACHTE# 5)\7-DV-TD Harnett County Department of Public Health 25241
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCAT ON: 7
ISSUED TO: cS SUBDIVISION ~A >n S ._:A LOT # 102
NEW'V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 F10 - S Sx 3s` - 3 -1, LV
Proposed Wastewater System Type:
Projected Daily Flow: 3 L.-D GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No '-J4_May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~Z Public ❑ Well Distance from well 0 feet Permit valid for. Five years
Permit conditions: -A<c~ C~n1Ac Pa, F,-Pk (y'yAkrvV I,, ASl -ICA 014(kJ ❑ No expiration
Authorized State Agent:: 0 _ Date: Q Q - 01- Z) `i~ 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 taws 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
13 1
ISSUED TO: RA C'( Iz H lmo PROPERTY LOCATION:
SUBDIVISION ~an~S O LOT # 1 a z
facility Type: S("() - SS'A 33-` 3110 >94ew ❑ Expansion ❑ Repair
Basement? ❑ Yes t5il-& Basement fiijxt-ur(es? ❑ Yes LlAn
Type of Wastewater System** ~T J~~ 8 d t--J,,,^ (Initial) Wastewater flow: ro-~ GPD
(See note below, if applicable $Z) v
oQ J I f la(Repair)
Installation Re uirements/Conditions Number of trenches t-
Septic Tank Size J gallons Exact length of each trench Q3 D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 12( inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: `r 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: /under fond the system type specified is diNeient from the type specified on the app&3tioa. / accept the specifications 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 tnmtrurtinn hrhnmAtinn than mt ho t-f-rnd mhnn there rh a girth.. .,r .h... T,;.
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: 6- Date:
Construction Authorization Expiration Date:
HTE# Nt-5;^~`at Permit # 50?y
Harnett (county Department of IlUblic Health
Site Sketch
a Ac LO(ATON:
ISSUED TO: m vat- k •e I SUBDIVISION LOT # t 02
Authorized State Agent: W Date: 02 - 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:
Applicant:
Address: j Date Evaluated:
Proposed Facility: Design Flow (.1949): ✓ l ) Property Size:
Location of Site: 3 / Property Recorded:
Water Supply: Public Individual (J Well [ J Spring Other
Evaluation Method: ( Auger Boring (J Pit [ J Cut
Type of Wastewater: [ Sewage (J Industrial Process [ J Mixed
p
R
O
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
c
L
E
#
.1940
Landsca a
P
Position/
Slope%
Horizon
Depth
IN.)
" .1941
Structure/
Textufe
1941
Consistence
Minera
1942
IY
SoiY
Wetness!
Color
r 1~d3:
t; Sofi;,x.
Depth (1k)
,
1836
_ : 5apraz ,
as
i ,1944.
Resin''.
Horn -
Profile'r~, A'
Clasx fi
<AR
S77/1-ILL
0-24
N
6
i
V,
JLL
\41-f
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r
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f
Description Initial Syster
Available Space (.1945) '
System Type(s) r
ISite LTAR
pair System Other Factors (.1946):
/ Site Classification (.1948):
Evaluated By: 9 t.,
Others Present: MI,