IPACHTE# 0 9 - s= d 17 y$ Harnett County Department of Public Health 2 5 2 5 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permi
PROPERTY LOCATIO : .5Z
ISSUED TO' ~.,J Tu.~~.. • ~ ~ ~c~. j~
SUBDIVISION LOT #
77
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .S FD ('O 0'
Proposed Wastewater System Type: _s2r q<,e -c `Q or . V~ C0-
Projected Daily Flow: j (~0 GPD
Number of bedrooms: 2 Number of Occupants: C max
Basement ❑Yes 910
Pump Required: ❑Yes C No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 19'*~_Public ❑ Well Distance from well feet Permit valid for. Q'Fve years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date. 2 y SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth 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, .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 T0: PROPERTY LOCATION: J_Z 1f y
SUBDIVISION •cs , o; .tip 1r- -LOT # 177
Facility Type: Rl New El Expansion ❑ Repair
Basement? ❑ Yes No Basementp Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ~2S'~; eT ec{~ vl~,c..~il~f F Gs (Initial) Wastewater Flow: A ~ GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches r3
Septic Tank Size /000 gallons Exact length of each trench feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1,2-18 inches
Maximum Trench Depth of: -_30 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: _1-&-4,~~• n c"k\ SC4411_6 inches total
**If applicable: /understand the system type specified if different Isom the type specified on the application. / accept the .recitations of this permit.
Owner/Legal Representative Signature: Date:
T6:, r_.......e:_.. ,1...1._.:.,..:__ ...t:--- .1 ,
f,,,,,, p,ay m um unenueu use Lunges, ine construction numonzanon snap not N 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: Date: C' 1
Construction Authorization Expiration Date: //,7/,
HTE# a - 7 VF~ Permit # a S-aJ- ?
Harnett County Department of 1-~iblic Health
Site Sketch
PROPERTY LOCATON: Ste- //Y/ A •
ISSUED T0: r-c f ~~~~~vr L SUBDIVISION c* -.,r A:.,-
~ LOT # /7
7
Authorized State Agent: Date: .ZIQ
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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 [ ] Individual
[ Auger Boring
[ ewage
JI IeCI.
Property ID:
Lot
File
Code:
Applicant: Date Evaluated: -7/" (C
Property Size:
Property Recorded:
[ ] Well Spring [ j Other
L ] Pit [ ] Cut
[ ] Industrial Process [ ] Mixed
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
1'- Restr
= Horir`
Profile r
Class:
& 4TAR
~S
Description
Initial Stem
Repai System
Available Space (.1945)
System Type
Is)
r
Site LTAR
v
Other Factors (.1946):
Site Classification (.1948):f
Evaluated By:
Others Present: