IPACHTE# N - ,7D- 34 6 J4 Harnett County Department of Public Health 2 5 3 6 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I 1 L(
ISSUED T0: k-i^ SUBDIVISION PTYto(z. f I n s, on LOT #
NEW REP ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: R."? 0
Type of Structure: 4-nVi ;98 Ado
Proposed Wastewater System Type: Qfa.JC k
Projected Daily Flow: 31n~ GPD
Number of bedrooms: ) Number of Occupants: (a max
Basement ❑Yes -,9 No
Pump Required: ❑Yes ❑ No ,Z May be required based on final location and elevations of facilities
Type of Water Supply: ❑ [Community Public ❑ Well Distance from well IG3-J feet Permit valid for. ~ Five years
Permit conditions: c Qn , trT AtVt $C ,q-C ❑ No expiration
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Authorized State Agent:: 7 Date: t") '3- O~ 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, .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: Jc ~ ~7cm:) ,A9-tt,,A. PROPERTY LOCATION: to S\(
SUBDIVISION ~R F-Kt~rr~`~~ LOT #
Facility Type: W H `USX-I-- ' PA- tg New ❑ Expansion ❑ Repair F2- Ac
Basement? ❑ Yes ~5-- No Basement Fixtures? ❑ Yes ;Z-No
Type of Wastewater System** 0, (Initial) Wastewater flow: 363 GPD
(See note below, if applicable -;zS--)- 5, V-Jcj-~- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ( O a p gallons Exact length of each trench O o feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Co inches
Maximum Trench Depth of: oLAh 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: (3 oar ox- 2-ryz~~ 01-\ Ac s~ ~ 4 1Z N I Z inches total
**If applicable: / understand the system type speciTed is different from the type specified on the application. / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is whiPrt to ovoratinn if rho giro nbn plat nr thn intonA,A um A- Tho rn -i.. A-h,. h,n k,. ......d ,..,.A -A.....h...:. _r .i. T-
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: Date: Q ` QGe - 0
Construction Authorization Expiration Date: (D 3 -0~ ~oI`f
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NTE# 07- -Q1 b0 V Permit # ~-3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 0/c/
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En 7a~ SUBDIVISION
170n v h l LOT #
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Authorized State Agent:
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Date: 02-06 ' 37
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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
5- DJ ~9 1("D1(
Owner: C
(
Applicant:
Address:
Date Evaluated:
Proposed Facility: Design Flow(. 1949):
Property Size:
4
Location of Site: fq 1
Property Recorded:
Water Supply: , :J Public [ j Individual [ J Well [ j Spring [ ] Other
Evaluation Method: uger Boring [ ] Pit [ ] Cut
Type of Wastewater: Sewage [ ] Industrial Process [ ] Mixed
P
R
o
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
L
194a
Landscape
Horizon
1941
1941
1942
SoiF s r k
1943
41956
~
1944`
r
P1
ot31@'
E
Position/ .
Depth
Structure/'
Consistence
Wetness/
s' Soil
Saproa.
,
Rests :
Class
#
Slope%
IN.)
Texture
_Minerat6w
Color
DeptIv(114.)
Class:.
, lioriz .
&I.TAR
6 I$
S c
V GR Is
S
18 2
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F" 2 S
~y
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32'
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024
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Description
Initial System
Repair System
Available Space (.1945)
i
System Type(s)
G (Zr~ I,(
Zf
Site LTAR
3
Other Factors (.1946):
Site Classification (.1948): V)
Evaluated By:
Others Present: