IPACHTE#~-~~-~~ b06 Harnett County Department of Public Health 2 5 2 4 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I I Z f
ISSUED TO: ~~f}c k L✓c I I ~~mCS SUBDIVISION tVa~tO ,yrti LOT # /97
NEW ~Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~7- - '4 x S - `t 2
Proposed Wastewater System Type: - .
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: '~K max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No `May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet Permit valid for. -~2 Five years
Permit conditions: Mr,0j ( L.4, d M , r Alf (c - F-1 No ration
y -F_LL.~rI 1' f tnr` ~-i t n ,7 o+_. l C~ q f~Ex sn _ ~w .)r- 1': o kut- L-') 7
v ~Y Co 4"17 ~ 2
Authorized State Agent: L4 l..I,~ Date: &o -a zf-P`~ SEE ATTACHED SITE SKETCH
The issuance of this permit by thhealth 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 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, .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. ' t
ISSUED T0: Q I~Lct n(( ti~l`-•eS PROPERTY LOCATION: 12-r
SUBDIVISION IL S ~ LOT # T9 -7
Facility Type: _SEo - 16S I SS- Li (32 o~L New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes CM10
Type of Wastewater System** 'w -{-n (Initial) Wastewater Flow: GPD
(See note below, if applicable
P t~ P4:)n4-- (Pill cl< (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size OCc gallons Exact length of each trench 0 YJ_ feet Trench Spacing: Feet on Center
Pump Tank Size OoJ gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 1f-a'~ 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. TON vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified /s different from the type specified on the app/ication. / accept the speciflwionf 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 Authonzation is subject to com fiance 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: Date: 0a d y- C9
Construction Authorization Expiration Date:09~1?
NTE# Permit # ~Sa7
Harnett County Department of ll ~iblic Health
Site Sketch
PROPERTY LOCATON: IA Z S
ISSUED T0: ; ~AR l,,,tic, S SUBDIVISION Ljop S h , ez LOT # j 7
Authorized State Agenr W Date: o7`F 5'
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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:
Date Evaluated:
i
Proposed Facility: Design Flow (.1949):
Property Size:
Location of Site: Z
Property Recorded:
Water Supply: ublic [ ] Individual
[ ] Well
[ ] Spring [ ] Other
Evaluation Method: uger Boring
[ ] Pit
[ ] Cut
Type of Wastewater: 11] Sewage
[ ] Industrial Process
Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
,
1
L
E
#
.1940
Landscape
Position/
Slo %
Horizon
Depth
IN.)
1941,`
Structure/
Texture
-
1941
Consistence
Mineralogy
.1942.-
501 G
Wetness/
Color-.- '
1943.
Soil
Depth (IN.)
L1956
; Saprcf;
Class
} 1944
i` Restr -
Horiz~-
Profile r `
Class
& JAR `
OIL
(~tl ~
l-- it
J
r- -
i24
JL
i
4
3,9,r-,
ob, SGT--
f 2
(L
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
ISite LTAR
Other Factors (.1946):
Site Classification (.1948): V~
Evaluated By: Q-
Others Present: