IPACHTE#1~~i-S~~- ale t Harnett County Department of Public Health 2 5 3 6 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ L PROPERTY LOCATION:
ISSUED T0: Y(Q i t `f ~ SUBDIVISION F3 (t CJ T Iq I< S LOT #
NEW ) REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C2
Proposed Wastewater System Type: APd`1 t
Projected Daily Flow: 3t, a GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes -;eNo
Pump Required: ❑Yes ❑ No "t~~tay be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community /~Public ❑ Well Distance from well 10 feet Permit valid for. 1YTive years
Permit conditions re S) A.1 d r F , \ L.(~ " 3- wi 11 4-4, r, a ! 1 f~ji f k-"
~ ❑ No expiration
J~~ °J e 1t LJl n V C-~ t L> rrF'~ e 0i.. d b vcf cY .4 f -,bvu ' i_ t I-,- rc t L. _~.n
Authorized State Agent:: ~ - 1.~l Date: 03-12-;~J 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 TO: K 4- PROPERTY LOCATION: II ~r
SUBDIVISION 0 A fz / LOT #
Facility Type: 5'fx 35 33~z New ❑ Expansion ❑ Repair
Basement? ❑ Yes G~ No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System** -2-L I, S, 4t'-, (Initial) Wastewater Flow: y GPD
(See note below, if applicable ~4 ~t i
le
Installation Requirements/Conditions
Septic Tank Size 40 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
Conditions:
~c (Repair)
Number of trenches
Exact length of each trench t 3 J feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 13 -9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Trench Spacing:_ Feet on Center
Soil Cover: L 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 rrstem type specified /s different from the type specified on the app/ication. / accept the rpeciflwionr of thin permit.
Owner/legal Representative Signature: Date:
tna construction Autnonzation is subject to revocation it the site plan, plat, or the intended use changes. the Lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to comphance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permiL At Al IALHtU NI It MIIH
Authorized State Agent: Date: D 3 - ( 2- 31
Construction Authorization Expiration Date: 0 3-1 2 - r_~O I
HTE# 0~TDO" tD I ~1a Permit # 1-2 5 361
Harnett Conuty Department of Public Health
Site Sketch
PROPERTY LOCATON: ~ 121
ISSUED T0: C9,4Lt SUBDIVISION !tt )T LOT #
Authorized State Agent j Date: f 2 T
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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 ltltll.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well [ ] Spring
[ ] Pit [ ] Cut
[ j Industrial Process [ J Mixed
[ I 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
Sapra
Class
1944"
Restrr
Horiz
Profile
Class
& LTAIR
-\i rill-
oOH -36
S'9/1 J C l
, (L j
123
0Vjc L_
U//-- Jf
c
~ I
-i L
6(CL 1 L
i
L
Description
Initial System
Repair System
Available Space (.1945)
'
/
System Type(s)
Site LTAR
t
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: