IPACHTE# 9-s- a►~s-f Harnett County Department of Public Health 2 4 6 0 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI N: i{ M C r, d.
a
ISSUED
TO
pp
,~C . 1~u •
~d ,l 1~ac SUBDIVISION r zd+Q F-x s e -i A+ :11-- LOT # 192
~
/
NEW
REP
L1~
AIR
Sr~
EXPANSION ❑ Site Improvements required prior to Construction Authorizat
ion Issuance:
Type of Structure:
Proposed Wastewater System Type: _
2_S e c Scw
Projected Daily Flow:
GPD
Number of bedrooms:
-
Number of Occupants: L max
Basement ❑Yes
Co
Pump Required: ❑Yes
112 No
Ma
❑ be required based on final location and elevations of facilities
Type of Water Supply:
El Community
Public ❑ Well Distance from well feet Permit valid for.
E9- e years
Permit conditions:
❑ No expiration
Authorized State Agent:: j~~ -r Date: 11/3 1,2- 0
~ SEE ATTACHED SITE SKETCH
The issuance of this perm y the Health 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 Buildintl Permit
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: SV~,.c', J~~c. PROPERTY LOCATI N:
SUBDIVISION of yS o: LOT # «2
Facility Type: [New ❑ Expansion ❑ Repair
Basement? 01 Yes No Basement Fixtures? El Yes El No
Type of Wastewater System- as'~o Wastewater Flow: -760 GPD
(See note below, if applicable
Z.r';~ 4.1.4=' (Repair)
Instigation RequinxneWConditions
Septic Tank Size C*Q0
gallons
Exact length of each trench .71(6-0 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: 18 -20 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
Conditions: 1 1 J
~.k\ jy- -
6v~-k
Aggregate Depth: inches above pipe
inches total
**If applicable: / understand the ryrtem type rpecifed is different from the type specified on the application. /accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
Thic r-t-ti.. &A--+i
- - " r,.,,, r- m uv macuucu uoc u-6- IIIc W11wUtlN11 MUtIV11 UU11 50411 im ue transierrea wmen mere is a cnange in ownersnip
of the site. This Construction Authorization 's 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. f Date: V/- ,
~0~
Construction Authorization Expiration Date: z-f
HTE# O t- S= f 7S3 Permit # a y( 6o
Harnett County Department of Miblic Health
Site ketch
PROPERTY LOCATON:
: cra t csLeo- d,
ISSUED TO:
(~~;.I6 G.~c,
SUBDIVISION a
`F ti{ LOT # 152
Authorized State Agent:
-
Date: xdq
jai
t` IL
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Department u) CIIv11u11111Cm, ritidlul, d11U IVdtuldl muz uu1GtJD
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
[ ] Auger Boring
V sewage
JI )"It-It.
Property ID:
Lot
File
Code:
Applicant:
( I Well
[ ] Pit
[ J Industrial Process
Date Evaluated(-'
Property Size:
Property Recorded:
(J Spring [ ] Other
[ J Cut
[ ] Mixed
P
R
C+
F
SOIL. MORPHOLOGY
t941
OTHER'
PROFILE FACTORS
h'
E
#
.1940
Landscape
Position/.
Slope%
Horizon
Oepttt,
IN.)
1941
Structure/
Texture
1941
Consistence
Mineralo9y
1942:
soil
Wetness!`
Color
.1943.
Soil
Depth (IN.)
.1956
Sapra
Class
1944
Y Rests
Horiz
Profile ,
Cass
& LIAR
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
,2 v
o~
I Site LTAR
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By:
Others Present: