IPACHTE# 09 )-zk~51 Harnett County Department of Public Health 2 5 2 8 5
Improvement Permit
A building permit cannot be issued with only an ImPr~ovement Permit
r f PROPERTY LOCATION: v2 `
ISSUED TO- Cv,~ SUBDIVISION v- rr ~ 44- lay LOT #
NEW v REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: e;'S ~ a C
Projected Daily Flow: _ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes[S No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Wes ❑ No ❑ MMay> required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E ' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for
five years
❑ No expiration
Authorized State Agent:: 4~..,~ k J. Date: 47a/.? G 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by Healent 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, .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: C_~ ~c• oa.ef PROPERTY LOCATION: A4
SUBDIVISION f LOT #
Facility Type: __S--I -d VNew ❑ Expansion ❑ Repair
Basement? ❑ Yes P'~No Bas ment Fixtures? ❑ Yes ❑ No
Type of Wastewater System' - v.ta o C U'-: 4. c ruQ (Initial) Wastewater flow: i _ GPD
(See note below, if applicable /
- -f fc Qcn,Jlz- -,c10(Repair)
Installation Requirements/Conditions Number of trenches 41
Septic Tank Size ~ gallons Exact length of each trench _ 7,1' feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ^24 inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: 'A:4-.a (0 A-"' b" kc"'~'C\
414 6'2- ,v,.. Q'\-
Trench Spacing: ? Feet on Center
Soil Cover t inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
.Aggregate Depth:_ inches above pipe
ri,F , t I l~ inches total
'If applicable: l underrtand the ryrtem type rpecilled it different from the type rpec16ed on the application. / accept the apeci6cations of this permit.
Owner/Legal Representative Signature: Date:
- --ul I „uumn.euou D -JItt w rcrotaumi n me she plan, piat, or me mtenheh use changes. ine Lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
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 Agen~ Date: 0 Q6v
Construction Authorization Expiration Date: J--?
HTE# Permit #
Harnett County Depailment of l'~rblic Health
Site Sketch
PROPERTY LO(ATON: .2-7
ISSUED T0:~--~ C SUBDIVISION ~•~v~ e 6 LOT # -~Z-
Authorized State Agent: Date: ~1G ~ac
7k L5~Q-
,-S-Q '
f,f,jg-f Co-,
b, P 14, c~c 'j
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):
[ j Public [ j Individual
[ J Auger Boring
[ ] Sewage
v11-1.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ j Well [ J Spring [ j Other
[ j Pit [ J Cut
[ j Industrial Process [ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
i
L'
E'
#
1940
Landscape
Position/ .
- Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
,1941
Consistence
Mineral' Y'
.1942.. -
Soil
Wetness/
Color,
19.43
Soil
Depth (IN.)
,.1956
Sapro
Class
1944
f Restr
Horiz
Profile
Class.
& LTAR
0-17
G ~1
V--r-
b
c-
2-
U
Description I
Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
,age and oth*r grading ect.)occur.--
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