IPAC RHTE# dq- - zoo 3 7 Harnett County Department of Public Health 2 5 4 0 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ I PROPERTY LOCATION: W 7dS /C.6
ISSUED TO• SUBDIVISION o~ LOT # -~y
NEW REPAIR El EXPANSION ❑ Site I provements required prior to Construction Authorization Issuance:
Type of Structure: 5rb
Proposed Wastewater System Type:
Projected Daily Flow: qR0 GPD
Number of bedrooms: Number of Occupants: 8 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ia Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Io Public El Well Distance from well feet Permit valid for. I~ Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by Health 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 i 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 TO: S% % ff~/KL_'S PROPERTY LOCATION: -WI-765- 41~ y/&GWwIE6
SUBDIVISION LOT # 15/
Facility Type: 1 r New ❑ Expansion 0 /Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~o
Type of Wastewater System" Z5Vo /Z45bt Y5/?.!X) ~yS><~,_ _ (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
25°lII(Repair)
Installation Requirements/conditions Number of (enches Z
Septic Tank Size f~100 gallons Exact length of each trench /ZO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z9 it inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil cover: _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
oZ inches above pipe
/Z inches total
**If applicable: l under land the system type Specified is different from the type specified on the application. / accept the speciflcatianr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, Plat, or the intended use chances. The Construction Authomation thall not ho trandorrod whop thorn , rh,n~o n „ -ki „r th. tit. Thi.
a
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 Age Date: S' 'Ll -0 7-
Construction Authorization Expiration Date: 5,-z ( - ( q
HTE# 0-57--Z7,0-36/27
Permit # '166,
Harnett County Department of IlUblic Health
v i to Sketch
PROPERTY LOCATON:.S2/705-
ISSUED TO: J/ _,6'N /_e'>J l~.S SUBDIVISION LOT # Z-
Authorized State Age d Date:
~Zl D~
~>^~~b~ 4 uvrT
Division of Environmental Health V u y u, .`yJV.,yyJ JIICCI.
Property ll~
On-site Wastewater Section Lot fi'.-
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: ZZV 3 J
Address:
Date Evaluated:
Proposed Facility: Design Flow (.1949):
y8d Property Size:
Location of Site:
Property Recorded:
Water Supply: 11f,public O Individual ( I Well [ j Spring [ j Other
Evaluation Method: ('Auger Boring [ I Pit
[ ]Cut
Type of Wastewater: [X4ewage [ I Industrial Process
(j Mixed
P
R
o SOIL MORPHOLOGY OTHER`
t 1941 PROFILE FACTORS,
.1940 1942
L Landscape Horizon 1941 1941
; Soif
# •1943 .1956 .1944 Profile
E Position/ Depth Structure/' Consistence
Wetness/
o Soil Sapro Restr Class
Slope/o {tN.) Texture Mineralogy Color Depth (IN.) Class
Horiz & LTAR
• D 51
• -za s4 t~
o -ZZ SL `J
v
Description
Initial Sy em
Repair Sy tern
Available Space (.1945)
System Type(s)
Z~~OIb
Site LTAR
y~S
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: /
Others Present: v