IPACHTE# ~ - ~z Harnett County Department of Public Health 2 5 3 6 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
rnurtlillf LULAf1UN: -*'r, 11 'S -2
ISSUED T0: ► SUBDIVISION %i v p ff ri C I 11-e LOT # 7
NE\~1 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: S`
Projected Daily flow: 3f.3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No =May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 P blic ❑ Well Distance from well OJ feet Permit valid for. Five years
conditions: DilJ, -k 6rr, , ( L4-io-4
❑ No expiration
Authorized State Agent:: t Date: t) 9-D 2,1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Healdl`Depanment 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 Perm
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: A ~ C) , ,2 t kr ' . PROPERTY LOCATION: Y 10 5
SUBDIVISION -75wr -2 010-rc- LOT #
Facility Type: 2-0- 5bd 392-- New ❑ Expansion ❑ Repair
Basement? ❑ Yes iR No Basement Fixtures? ❑ Yes Nn
Type of Wastewater System** 21" /G~~ Y t t (Initial) Wastewater Flow: GPD
(See note below, if applicable
-r 24- JfyJ. (Repair)
Installation Requireme is/Conditions Number of trenches
Septic Tank Size _ gallons Exact length of each trench _ 3 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 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: inches total
**If applicable: /understand the rystem type specified is different from the type specified on the app/ication. /accept the rpecificv nr of thin permit
Owner/Legal Representative Signature: Date:
~~.,,~„~a.,~„ > ,.~f". I--E- I~ III -I pmu, play m we mrenueu use changes. ine construaion Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to com 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: r4 Date:
Construction Authorization Expiration Date:
HTE# -S '~16S2- Permit # ~~L 3(o,3
Harnett county Department of 1'~lblic Health
Site Sketch
r~ PROPERTY LOCATON: 2 11'S 5
ISSUED T0: A W 1 A SUBDIVISION ' uJ ~jjgn ( tI- cc- LOT # 7
Authorized State Agent: Date: v D1
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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:
Proposed Facility: S~/> Design Flow(. 1949):
Location of Site:
Water Supply: +~ublic Individual [ ] Well
Evaluation Method: I uger Boring [ ] Pit
Type of Wastewater: [ ewage Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
[ ] Cut
[ J Mixed
[ 1 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
Mineral2Ry
.1942 .
Soil -
Wetness/'
Color
.1943
Soil
Depth (IN.)
.1956
Saprar
Class
.1944
Restr
Horiz
Profile
Class
& LIAR
&/I j L
(fi~/i ) "
f
~Y
S~~1J f L
~a-
Get
2y36
sohJC(
J~
v2
d 1l
2' 3
J
Mfr
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
7
ZJ
I Site LTAR
Other Factors (.1946):
Site Classification (.1948):~~
Evaluated By.
Others Present: