IPAC RFITE# ag-~ 1ka ~FIC Harnett County Department of Public Health 25601
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
//I PROPERTY LOCATION: ctir All
ISSUED TO- %/xr-y A-Lrf Z-tc- SUBDIVISION orcf LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F t7
Proposed Wastewater System Type: c~~a d~c~ .c.. fM1
Projected Daily Flow: Y B6 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes E?No
Pump Required: ❑Yes i6o ❑ MMape required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 5d' Public ❑ Well Distance from well feet Permit valid for B'~ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: J/ J`C Date: t/2 SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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, .19S5, .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 ~J
ISSUED T0: -Li,c PROPERTY LOCATIO kl
SUBDIVISION 1 LOT # 57
Facility Type: Its' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a s'~o ,Qea. f'fJge- %1-
(Initial) Wastewater Flow: GPD
(See note below, if applicable
:EjS-4j-.. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Odd gallons Exact length of each trench -0 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 41-/8 inches
Maximum Trench Depth of: -N-JO inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Conditions:
Aggregate Depth:
inches above pipe
inches total
**If applicable: / understand the system type specified is differeflt from the type spec/led on the app/icatioo. /accept the specificatronr 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 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 Agent- W Date: r l~Z a~ 9
Construction Authorization Expiration Date: ~ d ° 2 °
HTE# t' 09' ' ~7-.2PV,Q Permit # o2~C~ 6 t
Harnett County Depailment of Public Health
Site Sketch
PROPERTY LOCATON: /41G-►4
ISSUED TO: 2e ~.~c o,+tier iec SUBDIVISION LOT # 97
Authorized State Agent: / r Date: S a0 12-007
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: J /
Address: Date Evaluated: g r ` `Ft
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Ej~A4 c ❑ Individual ❑ Well
Evaluation Method: e r Boring ❑ Pit ❑
Type of Wastewater: ['S`ewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Teanure
.1941
Consistence
Mineralogy
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Reatr
Horiz
Profile
Class
dt LTAR
j
G o
tf,J1,cI~
f`
Z-
Cr (L f
f `
1//,^/
Description Initial Repair System Other Factors (.1946):
s 'tetO Site Classification (.1948): /-'y
Available Space .1943
a ~ ~r /y~E,v~,a~luated By:~~`-
S stem O:`- 1 m AD Present: