IPACHTE# 39-S'0'3 r D'I (I 53 Harnett County Department of Public Health 25361
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: ~
ISSUED T0:
C M 2
SUBDIVISION -7) Yv O
LOT # i
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Author
ization Issuance:
Type of Structure: _5
F70 - '-3 S ;K \-4 q - 3 C3 22
Proposed Wastewater System Type: Pte
7 r~i c{ ~~ta c 5 r
" - -f -
Projected Daily Flow:
3fd
GPD
Number of bedrooms:
3
Number of Occupants: 4c max
Basement ❑Yes
'fnX No
Pump Required: ❑Yes
❑ No
I~Aay be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
4
Public ❑ Well Distance from well feet Permit valid for.
)
g
r
~ Five years
Permit conditions: X
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n s,
-
c
r
( (..A } _ t n t'n
f W~ !t S ~ c 1" t3 Fl c ki
❑ No expiration
p(LA3 [N\AfVV`10, ~rF.(Alj)i 11,1c l/~~-- (_J hei 5A_,w , Al c/ ,,~7
1 O't ° a~ 4' ~ t r 1 /mil l /1C /1'✓-~r ✓f R r v✓~c~ 'T~f ('Nrn'1/~ /YIAI srVyJ f7C ~i l~ ~ 2 r~
Authorized State Agent:: - ) Date: 0 "J D --7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Hth 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: n 2A 4 tv~~ PROPERTY LOCATION: J\
~s SUBDIVISION 72; rJr,-x P ) tar t LOT # `5
Facility Type: J FQ ` 3S 4'414 E3tz Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9--No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** puN,n t. 2a, /W_~t r'r kri-, (Initial) Wastewater Flow: 3 6 2~ GPD
(See note below, if applicable Y)
y t v` p fi (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size 103 0 gallons Exact length of each trench X~ feet Trench Spacing: Feet on Center
Pump Tank Size .f t9J gallons Trenches shall be installed on contour at a Soil Cover. inches
'V 1,, < < Maximum Trench Depth of: If J 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: / undeatand the system type specified it different from the type specified on the app&3tio17. / accept the rpecificatioar of Chir permit
Owner/Legal Representative Signature: Date:
I llu -WFUUluu Numulilatwit is suofe(t to revocation it me site plan, plat, or the mtenaea use cnanges, the construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Aumonzation is suofect to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )Lt AI IACHED SIIt 1KETCH
Authorized State Agent: Date: d')`
Construction Authorization Expiration Date: CQ - D d_-)1
HTE# Permit # -3 ~
Harnett, (county Departnnent of hiblic Health.
Site ketch
PROPERTY LOCATON:
ISSUED T0: ~J/t~/LAt~ SUBDIVISION h3j
- ItAc LOT #
Authorized State Agent: In- Date: c!
6p
3r
jt
~.cG
pj r ~t OVA ~ LA ~0 Zj f ;2
v Gtr ~f-c S Iwn A,,~
, ~ S C~. ~ ~u raw a
C-10 inn y
Division of Environmental Health Property vID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: f Applicant:
Address: Date Evaluated:
Proposed Facility: f /,-w Design Flow (.1949):Property Size; -
Location of Site: !l Yl
Property Recorded:
Water Supply: ublic O Individual [ j Well Spring
[ j Other
Evaluation Method: Auger Boring [ ] Pit [ J Cut
Type of Wastewater: Sewage [ J Industrial Process [ j Mixed
P
R
0
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
Sapra
Class
.1944
Restr
Horiz
Profile; }`y r
Class
& tTAR
Vo
60_)1-
I✓/°
r
Ll-
/J
I IDV
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
r
~J
~
3,
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: Lr
Others Present: