IPAC RHTE# 07- } - 1770~k Harnett County Department of Public Health 24418
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: / tv S`3^
ISSUED TO: c°/L/VAt7~ SUBDIVISION LOT # /
NEW 2' REPAIR O 11PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 75J% jLi1~7//~
Projected Daily Flow: 3400 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: Oyes ❑ No O Maa required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L!f Public ❑ Well Distance from well feet Permit valid for lalive years
Permit conditions: ❑ No expiration
Authorized State Age Date: Z ` I I " b 7 SEE ATTACHED SITE SKETCH
The issuance of this permi. y )e 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 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, .1951, .1954, .1955, .1956, .19ST .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: PROPERTY LOCATION: //2,
SUBDIVISION z~-/~ ~,c LOT #
Facility Type: 2-'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes 1r No
Type of Wastewater System** 25'~IlrGi~u2~ (Initial) Wastewater Flow: 3~o GPD
(See note below, if applicable
(Repair)
Installation Requirements/conditions
lx
Septic Tank Size /0,10 gallons Exact length of each trench c2 '_7 Q feet Trench Spacing: 7 feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _C14! inches
Maximum Trench Depth of ZY 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: /1f&~-J) S
~ inches below pipe
Aggregate Depth: -Z inches above pipe
12-- inches total
**If applicable: / undeatanA the system type specified it diNerent /ror{i the type rpecipes on the application. /accept the rpecilcations 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 compliance with the provisions of the Laws and Rules for Sewage Treatrru nt and Disposal and to the conditions of this permit.
/ SEE ATTACHED SITE SKETCH
Authorized State A Cent Date: n9
Construction Authorization Expiration Date: 2 - / /
HTE# 67-"t;-- / j-7 D 1„R Permit # 2 g q/ R
Harnett (vounty Department of Public Health
Site Sketch
PROPERTY LO(ATON: SS
ISSUED T0: ~/~✓;~+-O~~~J~, SUBDIVISION LOT #
Authorized State Agen Date:
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Division of Environmental Health
On-site Wastewater Section
SOIL,SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
JI Ice I.
Property 10:
Lot
File *
Code:
Applicant:
Date Evaluatedl,"
Design Flow(. 1949): 3~1e~ Property Size:
Property Recorded:
[ tic (J Individual Well [ J Spring Other
[ ger WrV [ J Pit [ i Cut
~a [ J Industrial Process (J Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
0
1940
Landacape
Posit w
S %
Horkwn
Osplh
IN.
191/ 1
Sauctww
Texk"
.1941
Consbhnor
.1942 .
so*.
Webwow
Color
.1943
sal;.
RIL)
i gU
Saprac
Claaa
..1944`
Harts
tstolMi
Ctaas
I& LTAR
'
- zq
1
7
t
.
Zy N H
~C 'GI
r-~ S,
7
i J 1r
g
a
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1~
. 35
Description
Initial Systely(
Repair 1 !!!Lem
Available Space (.1945)
3 stem Type(s)
-
~
Site LTAR
3Z
Other Factors (.1946):
Site Classification (.1048):
Evaluated By:
Others Present: