IPAC RHTE# Qq-s- a.t~f~2,2 Harnett County Department of Public Health 2 5 2 6 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: _5_,2 /2--7'/ C6'4-.7 mcrvl~•/'en /(d_
ISSUED T0: SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /n H C V,
Proposed Wastewater System Type:
Projected Daily Flow 9 GPD
Number of bedrooms: -7 Number of Occupants: C max
Basement ❑Yes 21 o
Pump Required: ❑Yes ❑ No May be required bb d on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public L7 Well Distance from well feet Permit valid for. Er rive years
Permit conditions: ❑ No expiration
Authorized State Agent:: 0.. Date: ,Z 2- 20o SEE ATTACHED SITE SKETCH
The issuance of this permit by the 11th 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 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..
I
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: ~a u=~ A,,4 PROPERTY LOCATION: JW 1'z2 y
i SUBDIVISION LOT # 1r4
Facility Type: A"4 "2-r" 3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes EFINO Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater flow: -2c c' GPD
(See note below, if applicable
4~ <<-~ -,e + r(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size AX6 gallons Exact length of each trench Cl feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: l(~- inches
(Trench bottoms shall be level to +/-1/4°
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: S rc~"ti r-~J ~r-
~?°Acr 7.~t1 c cvti~d~ 6~ Cw ~reJ s~
Trench Spacing: / Feet on Center
Soil Cover: (o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
w=
inches below pipe
Depth: 2_ inches above pipe
:2 inches total
1 5~ 4frz~ec~
If applicable: /understand the system type specified is different from the type specifed on the application. / accept the specilcationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authoritatian k whiart to rav n6 "n if rho <iro nlen Hier - r6n in-A„A ,,.e .L,..,.,.. TL. f.,»-..,,:__ ...d. .~_o
. _.._..a.._. vc uawancv nnv, tf-C u a IUAlg'r ni OmICUnlp m me $Ile. Inn
Lonstruction Authorization is subject to compliant with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit bw SEE ATTACHED SITE SKETCH
Authorized State Agen Date: 9
Construction Authorization Expiration Date.
a
NTE# o ~1- 02 t ~ 2 Permit # -Z FvZ 4
Harnett (lounty Departnnent of I'iiblic Health
site slietch
d PROPERTY LOCATON:
ISSUED TO: «-v V O
SUBDIVISION LOT # /
Authorized State Agent f Date:
~ 5-ys4,.. lt"-,
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:
Property ID:
Lot
File
Code:
Applicant:
Weil
[ ] Pit
( J Industrial Process
Design Flow (.1949):
Pu Iic ( ] Individual
ger Boring
[ Sewage
Date Evaluated: ~))I ~0 )vll
Property Size:
Property Recorded:
Spring [ ] Other
[ J Cut
( J Mixed
P
R
O
IF
SOIL MORPHOLOGY
.1941
_ OTHER
PROFILE FACTORS
L
E
*
.1940
Landscape
Position/
Siope%
Horizon
Depth
IN.)
.1941
Structure)
Texture
2941
Conslsten4 ~
Miners
A942:.,,
Sod .t 1943
.Wetness!' So `i~
Odor Depth IN.)
1936 ,19" Profili l j
§aprv' RdsV: CIS;
Class Horht. a LTAR '
12,- 2V-
c~
~r
la ~2
-
b
6- iJ11"
G
y✓jrl~
if p
C
f/e°
- -fl
~f ~l C
ff l
Co i(2 F5 j, z 1,"
0
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
d
- c ✓
Site LTAR
Other Factors (.1946):
Site Classification (.1948): P/
Evaluated By: r
Others Present: