IPAC RHTE# Opt- a S~~li, Harnett County Department of Public Health 2 5 3 5 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 112
ISSUED TO: (2flvsve )J Lf-1r11J SUBDIVISION Wg,,Wf-A n LOT #
NEW ;K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: FQ- ^J_ L4 gft_-
Proposed Wastewater System Type: ~~t~ti .
Projected Daily Flow: (4 g GPD
Number of bedrooms: H Number of Occupants: _ max
Basement ❑Yes 9 No
Pump Required: ❑Yes ❑ No '2F May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "S Public ❑ Well Distance from well _ /0- feet Permit valid for: ❑ Five years
Permit conditions: cIL OrW,-~ A, ^16,v% f*I~ Sc-fgf-Cks ❑ No expiration
3 A 0"" 1 L. r-'6' ho C I IotJ . ~~1 trot owed /r C o/- k k.'-- t -IV eP ~ ,S'Aovn
Authorized State Agent: e~ CJ/ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the ealth 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, .19S5, .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: pig r' "e)j I N% PROPERTY LOCATION: tf
SUBDIVISION LOT # 19 3
Facility Type: S rl) %4 ;,X S J Lf 3(L New ❑ Expansion ❑ Repair
Basement? ❑ Yes oC No asement Fixtu es? ❑ Yes ado
Type of Wastewater System" ~p2s ~d S~S~ (Initial) Wastewater Flow: YS 0 GPD
(See note below, if applicable 5~
,I*^-- `
B I °C k (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 100 0 gallons
Exact length of each trench IdD feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: JS - inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: (I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type specifled is &Yerent from the type specified on the application, l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
uus wnwuwun auutunzauon is suufect to revocation it me sue plan, pmt, or me mtenaeo use changes. Ine lonstructmn Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complia 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: LI, ~A ) Date: 0 a' a 61
Construction Authorization Expiration Date: 0 2 2 r~~
HTE# Dq-,-DO-0151JV. Permit# aJ53S l
Harnett C,onnty Department of Public Health
Site sketch
PROPERTY LOCATON: 2
ISSUED TO: CR u~`~ SS 1-~t~ 1~ SUBDIVISION LOT # ( ?3
Authorized State Agent: C'am' "r Date: 2. 2 S = ~l
1 r\N AJ}Jk 319cL'i
u
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ueparunent ui cnvnvnnlent, fledlUI, arlu IVOW- 11-U a 11
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: C
Proposed Facility: > r Design Flow (.1949):
Location of Site: 2
Water Supply: ublic [ ] Individual [ J Well
Evaluation Method: (Auger Boring Pit
Type of Wastewater: [ }/Sewage [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
(J Spring
[ ] Cut
[ 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
.1944
Restr
Horiz
Profile
Class
& LTAR
lJfir'~
Q
-2to 1(~
o9 z)
ea L.
0-
Y
Description
Initial System
Repair System
Available Space (.1945)
✓
System Type(s)
n
v
Site LTAR
Other Factors (.1946):
Site Classification (.1948): C/
Evaluated By:
Others Present: