IPAC RHTE# 09 ~s-- zzfq3F Harnett County Department of Public Health 25412
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r--
PROPERTY LOCISSUED TV J,4_y~J ?itc:Cx SUBDIVISION a LOT #.~.1
NEW REPAIR ❑ EXPANSION ❑ required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type:
Projected Daily Flow: ~a GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ~No
Pump Required: ❑Yes ❑ No 2_Marequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community L%1 Public ❑ Well Distance from well feet Permit valid for. /U Five years
Permit conditions: ❑ No expiration
Authorized State Agent ✓ fO"`~d" _ Date: to - :57-d 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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, .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 T0: X50 J LZAAA v114 y PROPERTY LOCATION: Div Z
SUBDIVISION le LOT # 2 `2
Facility Type: . S F New xpansion ❑ Repair
Basement? El Yes No Basement Fixtures? L1 Ye No
Type of Wastewater System** Lo"w?'d (Initial) Wastewater Flow: ~C1 GPD
(See note below, if applicable
row u'~C. 9~/! Pair)
Installation Requirements/Conditions Number of trenches o2
Septic Tank Size 1Z00 gallons Exact length of each trench .2 oy feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z $ -)/B inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: q Feet on Center
Soil Cover. to inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
(v inches below pipe
7 inches above pipe
/L inches total
**If applicable /understand the system type specified /s different AM the type specified on the app/ication. / accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authoo7ation it aihiert to rovnratinn if the it. nlnn nNt nr the i.-Ad A -..6-,.e. U r,,.,.«....:.... e...G.w__.:__ .~_u
. _ ~ mij u . , -%m --"...N me am. .uu
tonstrucnon 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 • 2 4~~ Date:
Construction Authorization Expiration Date:
HTE# 04 - 5 - Z ZN,.3 9 Permit # 2 sy 12
Hartlett County Department of Miblic Health
Site ketch
PROPERTY LOCATON: 11w 4, -/Z
ISSUED TO: SUBDIVISION c.~ LOT
Authorized State Agen . Date: W/ - r D
3.1'
To r-?
b
fo'~
kl/
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: $21 Y3
Address:
Date Evaluated:
S Z7 - o P
Proposed Facility:
Design Flow (.1949):
4184 Property Size:
Location of Site:
Water Supply:
[blic
[ ] Individual
Property Recorded:
Well
Evaluation Method:
[ ger Boring
(J Spring
[ ] Pit
[ J Other
[)Cut
Type of Wastewater:
( ] Sewage
Industrial Process [ j Mixed
P
R
o
SOIL MORPHOLOGY
•
: OTHER
t
F
'
.1941 `
.
PROMILE FACTORS: I'.
1 .194a .
L Landscape Horizon
E Po
iti
/
D
t
` .1941.
=
',194t
1942:1
` Sod ~i1943
.194 Profile `
s
on
ep
h
# slope% IN.),
Structure)
Texture
Consistence
Mineral
Wetness)' r SoN _,f Salmi' "
~
Ra* Ctaas
ogy
Color -
076pth°1N.) Class
~Iorit,~ & ITAR
7
Z"21
y
-1 C14-7
Description
Initial System
Repair stem
Available Space (.1945)
System Type(s)
co-0
Site LTAR
e
Other Factors (.1946):
Site Classification (.1948): j
Evaluated By:,-
Others Present: