IPAC RHTE# n~- 1793/~ Harnett County Department of Public Health 2 5 2 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: k W /0C"-k5- ,UGC
ISSUED TO aSo,~ r. e C~~~,j*r~c • c.. SUBDIVISION AS e-4-r4 LOT # l
NEW ( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S-FO ,S'
Proposed Wastewater System Type: QG Arc,.
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes EST No Pump Required: ❑Yes ❑ No Lit be required based on final location and elevations of facilities Type of Water Supply: ❑ Community MaPublic 11 Well Distance from well feet Permit valid for. 1S1 ive years
Permit conditions: ❑ No expiration
Authorized State Agent: / y cl. . j, Date: 91/9/9009 SEE ATTACHED SITE SKETCH
The issuance of this permit by tlikealth Department in no `Vaguarantees 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: cs.,ratiJD <c PROPERTY LOCATIO : I -Y~Z Ill SUBDIVISION 4r c , c A LOT # A/
Facility Type: "New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1:4"-N o Basement Fix res? ❑ Yes No
Type of Wastewater System** ( 71 e4 kJ :cam ~ sll t (Initial) Wastewater Flow: GPD
(See note below, if applicable
l-
AJ-4-"'- -)VJY< (Repair)
Installation Re uirements/Conditions
Number of trenches A
Septic Tank Size _
000 gallons
Exact length of each trench (g (3 feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: a y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
ft. TDH vs.
GPM
Conditions:. -
(A - L. -ec,t cs,,
~oA to,) l ws~ k , cc~-A'
Q,-'
C
Trench Spacing: Feet on Center
Soil Cover: /a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
**If applicable: / understand the System type specified is different from the type specified on the application. / accept the speciflwions of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended 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
L
Authorized State Agent: X1 Date:
Construction Authorization Expiration Date: 4
HTE# O~ - S-- II-) ~.,?2
Harnett County
Permit # A ra 5-if
Depaii1inent of IlUblic Health
Sit{ Sketch
P PROPERTY LOCATON: S,etl! I f~ ~
ISSUED T0: t ~cz.S6 i i t=. tc ~y„~-~ , SUBDIVISION .r LOT # ' -z_
r"
Authorized State Agent- Date:
f
Lq
1
kaC, lk-,
ueparunum ui ciivuunniem, nt d1Ml, 111U IVdlUldl rlUbUUIICD
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):
M'Public [ J Individual
I Auger Boring
[ Sewage
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well [ j Spring Other
[ ] Pit [ J 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
1543
Soil ,
Depth (IN.)
1956
Sapra'
Class
1944
f Restr
Horiz
Profile
Class.
& LTAR
2 e
G- lGf
/U~'
J_ ,
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
2r t
Site LTAR
, y
Other Factors (.1946):
Site Classification (.1948):,]
Evaluated By:
Others Present: