IPAC RHTE#(L Harnett County Department of Public Health 2 5 5 Q 2
Wrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: C~✓` y~~ SUBDIVISION F~R.c, 7 7 A Izi LOT # 7
NEW. REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: !3 Fo 7 7(~p~--` f rC._Proposed Wastewater System Type: t */3 (tt~
Projected Daily Flow: L] GPD rr
Number of bedrooms: _^5_.'_ Number of Occupants: (max
Basement ❑Yes 5~310
Pump Required: ❑Yes ❑ No -Y. May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 3 feet Permit valid for. Five years
Pe it conditions: ffi-e
M A, 14 Aa 0 11 ,f 106 c S ❑ No expiration
k c., r~ o_~ d levc / /3,- ) t ' 2 A e r- ti kQj-- f ~'a is
Authorized State Agent.: ~t-1 _ Date: 0 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the H Ith 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 taws 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, .19% 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: 9 PROPERTY LOCATION:
SUBDIVISION s(ec) 7 ONI-J LOT # 67
Facility Type: SF-D- -73x 1 `f -3ga_ ...New ❑ Expansion ❑ Repair
Basement? ❑ Yes DI No Basement Fixtures? ❑ Yes IND
Type of Wastewater System (Initial) Wastewater Flow: GPD
(See note below, if applicable t
Installation Requirements/Conditions
Septic Tank Size 306 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
Conditions:
3 ) D c k (Repair)
Number of trenches
Exact length of each trench 19n feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover 6~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
*If applicable: / undeatand the ,s stem
r type specified is different from the type specified on the application. / accept the specifications 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 ownershiD of the site. This
Construction Authonzation is subject to com liance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
r
Authorized State Agent: Date: - C bI 'D / - ( ) V'- Q Construction Authorization Expiration Date: (2 3 J
HTE# DOI-~~- t& ~ i (Z Permit # 3S-S-32-
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON: A X 2
ISSUED T0: ~r J , SUBDIVISION F
2 R c) 7 D R k } LOT #
Authorized State Agent: Date: S- - 0 G-
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:( Design Flow (.1949):
Location of Site.
Water Supply: [ ]public [ ] Individual
Evaluation Method: 6 Auger Boring
Type of Wastewater: [ aewage
JI ltm:t.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ ] Well Spring
[ ] Pit [ ] Cut
[ ] Industrial Process [ ] Mixed
[ ] Other
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
I
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
Restr
Horiz
Profile
Class
& LTAR
~
f
`
6n J L
:140 c C
hv~ J '
-72
C-
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: