IPACHTE# 0 1` -s-2,1134 Harnett County Department of Public Health 2 4 5 9 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: So.s- R, I;~ ' S4,,-{
ISSUED T0: SUBDIVISION Fr..a, ti arrc LOT #
NEW FRK REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ./Co^C4=4t;(Jn B>s4
Proposed Wastewater System Type: e, n.p k Q
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Ye~s ❑ No
Pump Required: ides ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
❑ be required based on final location and elevations of facilities
MaPublic ❑ Well Distance from well feet
Permit valid for.
O'l`ive years
❑ No expiration
Authorized State Agent: Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit t e Health Departmen no way guarantees the issuance of other permits. Thepermit r 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 acco .w with the attached system layout. t6
ISSUED TO: PROPERTY LOCATION: Jam ~ ~ ~ y e
SUBDIVISION t /'w. ti w LOT #
Facility Type: rya r• /Cell cew- a V New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System* ` P,4 ..,e k-c A5- (Initial) Wastewater flow. d- a GPD
(See note below, if applicable
~r arX ke-du-- (Repair)
InsWkion Requirements/Condit afs
Septic Tank Size -1 6 gallons Exact length of each trench aS"a feet Trench Spacing. Feet on Center
Pump Tank Size 000 gallons Trenches shall be installed on contour at a Soil Cover. /-2 inches
Maximum Trench Depth of 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: ~t cc ,Eo .tce✓~ off T; ~c csr <<;- rv1 inches total
**6 applicable: / understand the .ryrtem type .rpeciled it different from the type speciled on the app/ication. / accept the rpecilcationr of this permit.
Owner/legal Representative Signature: Date:
This (onstruction Authorization is subject to revocation B 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 Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SFTE SKETCH
Authorized State Agent: Date: -Z //C, ~
Construction Authorization Expiration Date: cZ / c-2-g/V
HTE# 0 6-r- Zf 3ZG Permit # ZYr26
narnett Clonnty Depailment of niblie nealth
Site Sketch
PROPERTY LOCATON: Sour In k~. k "r+r.. -4
ISSUED TO: el v 4tJ -Jv- SUBDIVISION a. r k LOT #
Authorized State Agent: ww. Jt Date: .2-
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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:
Design Flow (.1949):
Public ( ] Individual
[/J Au r Boring
( Sewage
J. I.-
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ ] Well Spring
[ j Pit [ ] Cut
Industrial Process [ J Mixed
[ ] 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
Sapro
Class
.19444
Restr
Horiz
3 r.~
Prohle:
Claw- ~
& LTAC
r
~
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
A-G
V~
I Site LTAR
3
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: a f