IPACHT€#D-f J $ Harnett County Department of Public Health 25353
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
t PROPERTY LOCATION: r2di
ISSUED TO: l SUBDIVISION 7A2m S LOT # ~ f
NEW` REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: PO -
`f x `f 2 - 2
'S PU Proposed Wastewater System T e: _ t
Projected Daily Flow: (c 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 2S No
Pump Required: ❑Yes ❑ No 'tgMay be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community Public ❑II Distance from well JJ feet Permit valid for. -gr Five years
Permit conditions: cc~ on 5", 37 r3 ❑ No expiration
Lv- h~ ktr C.~1 ~ ~o
r0,k4 A,
Ah Vie Matte
Authorized State Agent:: - Date: a2 93- t-~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Hetalth Department m 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, 1957, .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: W-or\ PROPERTY LOCATION: 1 a 3 i
SUBDIVISION a, n F/A,,, t LOT # c-,~ y
Facility Type: S FO - (~'(y`f Z - 3 f3 Z_ New ❑ Expansion ❑ Repair
Basement? ❑ Yes aRL No Basement Fixtures? ❑ Yes -4a4o
Type of Wastewater System* 1> A- dins n, (Initial) Wastewater Flow: ~3 GPD
(See note below, if applicable) -C5J + -
-S ~ (Repajr)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1,r,~2 C) gallons Exact length of each trench 3D 3 feet
Pump Tank Size J gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _t t inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ` inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
*If applicable: /under understand the rystem type pecified is dif/erent /rom the type specified on the app/nation. /accept the specifIcationr of thh permit
Owner/Legal Representative Signature: Date:
This construction Autfiorizadon is subject to revocat on i[ the site plan, plat or the intended use chanoec_ Thr Cnnctrurtinn euthnnintm, <hun 60 - c,-A .r....:. _
",....-'6' -"""F 111 1111 ~K. 11111
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: C, LJ ) Date: 0 2- ' II
Construction Authorization Expiration Date: 0 Z r a- 6?01
HTE# 0' Permit # ~3J
Harnett County Department of F' iblic Health
Site Sketch
PROPERTY LO(ATON:_ 2 3J
ISSUED T0: ~~(►/~nt~~ SUBDIVISION ~bn< - r
FA/i.n., t nor #
Authorized State Agent: C,* ) Date: 02, 23-` 3 - -
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91CLA"J C)'- U
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: U~J O` JU
Address: ~n1
Proposed Facility: S~ y Design Flow (A 949) j
Property ID:
Lot #
File
Code:
Applicant:
Location of Site: `mot , le
Water Supply: 2~ublic Individual [ ] Well
Evaluation Method: uger Boring [ ] Pit
Type of Wastewater: wage [ I Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
Spring
[ j Cut
(j Mixed
[ J Other
P
R
o
SOIL
MORPHOLOGY
' 'OTHER
,
IF
:.1940
`
.1941
PROFILE FACTORS
: "
L
E
landscape
PositioN
tioriion
Depth
1941
Structure!
,1941
Consiabnc a
gp~~ +t 194$ , i 95e
Wetrre
d
194
RrIeJ '
SIo 96
IN.)
Texture
Mineralogy'
a
Color Mpth IN.) Class
ficrit
Class '
rk LTAR s
L
V/-'t f
~f
sou jc
a
K L
FL
SDK c
sqk
r~-
l
5L.
VFiI-
1~
c
r~ r
0 2
2 c.
vxti z
24.E
_jjLaL_
F_/_
s L
f-L-
Description
Initial System
Repair System
4vailable Space (.1945)
System Type(s)
2,~ V
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: V
Others Present: