IPACHTE# 0?-_!r00- al r13 Harnett County Department of Public Health 2 5 2 4 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~ PROPERTY LOCATIO : r z -
ISSUED TO: V1 h 0 Lf 4 SUBDIVISION S , Sh, k? C- LOT # 2
3 ~
NEW REPAIR ❑ XPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
- t {
Proposed Wastewater System Type: Zf (Coc -~s . S~;
Projected Daily Flow: `f`-3 GPD
Number of bedrooms: 9 Number of Occupants: max
Basement ❑Yes 9 No
Pump Required: ❑Yes ❑ No -.May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Dist nce from well /,3.a feet Permit v lid for. iZ-Five years
Permit conditions: STS Qt.~ ~u hf h S~ LJf A~ El No expiration
Q r ~ ~ Q ~-r
Authorized State Agent:: Date: D2- (*3. SEE ATTACHED SITE SKETCH
The issuance of this permit by th eakii 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 t 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, .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: CA~1v J1 LrXX PROPERTY LOCATION: ~Ie)-
_ SUBDIVISION COV .S~rrt~ LOT # TFacility Type: C.S1 n1 y J - -q(~-- ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 2j,_4 t~Q~ ~c~ • s , ti~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Re uirements/Conditions Number of trenches - I
Septic Tank Size gallons Exact length of each trench? feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of. I8 d4 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: / undetttand the system type rpeci6ed /a dih`etent from the type rpecifled on the app/ication. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
« a„ „ „ -1- ~o ic. n use vie Pima, pint, of me mrenuea use changes. ine construcnon numonzanon Shan not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comps ce ith 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:
Construction Authorization Expiration Date: I) 2 - ~ 3 )J/
HTE# D0" oQ s-_ -~3 Permit # 00 d 57a `f 3
Harnett Connty Department of hiblic Health
v i te Sketell
DRnprRTY inrATnU
ild~-
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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: 11 S r 3 'Z r I~ Applicant:
Address:
Proposed Facility: Design Flow(. 1949): Location of Site: /
Water Supply: j Public [ ] Individual [ ] Well
Evaluation Method: uger Boring [ ] Pit
Type of Wastewater: [ Sewage [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
[ ] Cut
[ ] Mixed
[ I Other
P
R r
O
F
'SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
+
{
L
E
1940
Landscape
Position/
Slope%
Horiion
Depth
(IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil -
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944`
Restr
Horiz
Ptotllg'
Class %
8, LTAF
611- it
lV- t
Description
Initial System
Re air System
Available Space (.1945)
System Type(s)
CC
U J v
Site LTAR
I 'I)
Other Factors (.1946):
Site Classification (.1948):
Evaluated B -1y~_
Others Present: