IPACFITE# Q s= R~ Harnett County Department of Public Health 2 5 2 5 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: J-f- !Imo// M" c+ -I(.; e'&
ISSUED TO: SUBDIVISION c:`i{, -97 LOT
NEW 4/ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5- F c{0 Kto(J"
Proposed Wastewater System Ty e: Lakrtc 4'd~~~~~,,,~ Sc,s
Projected Daily Flow: GPD
Number of bedrooms:
Basement ❑Yes
Cfi~No
Pump Required: ❑Yes
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
Number of Occupants: L max
EP Ma be required based on final location and elevations of facilities
L~ Public ❑ Well Distance from well feet
Permit valid for
D<e years
❑ No expiration
Authorized State Agent::/~At /W ct:- Date: a aoq
SEE ATTACHED SITE SKETCH
The issuance of this permit by theWTth 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 iostalled in accordance
with the attached system layout.
ISSUED T0: cj " PROPERTY LOCATION: f / y /
F/ SUBDIVISION d - / LOT # l
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes f7 No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable
V.l' (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size COO gallons Exact length of each trench /6-0 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of: _ 8 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:. K~~~ • ne on' C.oA-~oC " inches total
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifcationr 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 Authnrizatinn shall not hp trand-d whop tharo a A-. m -n.ch;e „t 6 o rt,;,
Construction Authorization is subject to comp ce with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
L
Authorized State Agenr Date:
SEE ATTACHED SITE SKETCH
Construction Authorization Expiration Date: VIV 1.2
HTE# Permit # aZ ~o2S`~i
Harnett Comity Department of Public Health
Site sketch
p _ PROPERTY LOCATON::SA- J l A
ISSUED T0: ~~a•~c/w= Id ery L SUBDIVISION LOT # S f
Authorized State Agent:
cti. Date: t
a
n Q
3
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f'KrI rrCA-
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uepartment Ul m ivIlu11111C11t, n"'.11m, dllu IVdtuwl mubuult:CJ
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):
[ jf Public O Individual
ger Boring
Sewage
of futa.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
~~.7~
Property Size:
Property Recorded:
(J Well 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
Npth
IN.)
1941
Structure/
Texture
1941 "
Consistence
Mineralogy
1942:,,
Soil
Wetness/ t
Color
1943.
_ Soil ,
Depth (INJ
.1956
Saprtr
Class
1944
Rastr
Hord-
Profiles i.
Class,
& LTAR
p
O-~
Y'c- 7 t
Description
Initial System
Re air System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:/)
Others Present: