IPACHTE# 0i -r053- Q1 &73 Harnett County Department of Public Health 2 5 3 6 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
j~ PROPERTY LOCATION: //7
)
ISSUED TO: SUBDIVISION ?uf ;7 O Ar.5 LOT # to
NEV~C REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2~ ~✓c~~c ~r J r .
Projected Daily Flow: l7 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes iZ-No
Pump Required: ❑Yes ❑ No `~4 May be required based on final location and elevations of facilities
Type of Water Suppl : El Community 4 Pub c El Well Distance from well feet Permit valid for > Five years
Permit conditions: ee n J t tC r- ( A / 6c ❑ No expiration
Ir k I-~x_, ~.~-,.A-4 ice,, rL
Authorized State Agent: 4 (o ,-5ty(-) Date: 03 - 2 -g 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 T0: PROPERTY LOCATION: 1I2j-
CC SUBDIVISION 'Da k J LOT # 0-7
Facility Type: JFO - s-9x sb-- ~3 R2 4 New ❑ Expansion ❑ Repair
Basement? ❑ Yes C91- No Basement Fixtur s? ❑ Yes Q~N0
Type of Wastewater System** 2 t. .a (Initial) Wastewater Flow: ~ l< zi GIRD
(See note below, if applicable
Pte, ~3 C (Repair)
Installation Requirements/conditions Number of trenches I
Septic Tank Size 0 gallons Exact length of each trench 1 g feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: r! inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
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 application. / accept the rpecificationr of this permit
Owner/Legal Representative Signature: Date:
113 wnuiuuiun xumuncauun is suufea to revocation it me site plan, plat, or the mtenaea use changes. the Construction Authorization shall not be transferred when there is a change in ownership of the site. This
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: ( I L W Date: l`? 3 - I Z - ~ ~
Construction Authorization Expiration Date: 0 12 -,~J I
HTE# 0~-00- 3 Permit #
Harnett (bounty Department of 1"ttblic Health
Site Sketch
PROPERTY LOCATON: I )
ISSUED T0: 4 SUBDIVISION ~JQ() DAk J LOT #
Authorized State Agen S Date: (9 ,3 -
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ueparunent of CIIVIIUIIIIICIIL, r7edIL11, d11U IVdtUldl RCSUUIL;CD
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ ] Public [ j Individual
[ J Auger Boring
[ ] Sewage
JI leel.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ ] Well [ j Spring [ j Other
[ ] Pit [ j Cut
[ ] Industrial Process [ ] Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941`
,
OTHER
PROFILE FACTORS
L `
E'
#
M
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:
& LTAIR
U
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r
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/
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r S
2 J
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Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
t
Mt/
Site LTAR
s
-l
Other Factors (.1946):
Site Classification (.1948): J
Evaluated By: Of k-/
Others Present:
W o ` I1~f