IPAC RRHTE# U~t a = aa3~R2 Harnett County Department of Public Health 2 5 6 0 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit p
/ PROPERTY LOCATION;- le /VI cs.[ 1" c(.
ISSUED TO: 2e q en C~ LJ0^C.f- SUBDIVISION LOT # 98
NEW Pf REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: , fr D
Proposed Wastewater System Type: C QAVQ A1411.J
Projected Daily flow: (a~? J _ GPD
Number of bedrooms: - Number of Occupants: - max
Basement ❑Yes 1440
Pump Required: ❑Yes i~ o ❑ May equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community F!fr Public ❑ Well Distance from well feet Permit valid for. B'Eive years
Permit conditions: ❑ No expiration
Authorized State Agent:: (%e` / ~`Jwt~ l Date: dr ~2~ /200 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health rtment 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 ASO, .1952, 1954, .1955, 1956, .1951, .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: t.A r- % y /Zaluier PROPERTY LOCATI N: o-q r oQ~.
SUBDIVISION l -Ford LOT # 96
Facility Type: J~ [New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixturesl ❑ Yes
Type of Wastewater System'" C 0/1 Je_n (Initial) Wastewater Flow: GPD
(See note below, if applicable
Co ~e.1 { , 4K '-VS- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench o _ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. c2 -2 k- 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: /A, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
G inches below pipe
J_ inches above pipe
_/Z inches total
**If applicable: / understand the system type specified is different from the type speciled on the applicatiofl. / accept the specifcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authori736n11 is vnlHPrt to revnratinn if tha it. nk. plat nr ,hu ;--LA A- T6 f ......d 1...L .
. , . . ua„j.a„.a -6 m- o a roan%a I,, -.mmp of tale site. Ims
Construction Authorization is subject to complian ce 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: ~a Date: J-a 6 7
Construction Authorization Expiration Date: 2~ a 6 11
HTE# Permit # a2S~Ga?
Harnett County Department of ll ~tblic Health
Site Sketch
PROPERTY LO(ATON:
ISSUED TO: /<e~QncS/ , Mer SUBDIVISION e c~ LOT # 98
Authorized State Agent: f Date: -F/Z(-/20'7
/ Gcy
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Departinent of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plicant: 610 J6
Date Evaluated:
Design Flow (.1949):
Property Recorded:
[3'15iiblic ❑ Individual ❑ Well
3'Auger Boring ❑ Pit
['Sewage ❑ 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 9f
Horizon
Depth
(In.)
.1941
Shvoture/
Texure
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
dz LTAR
lb-q8
~r
✓~~fti~'
Description
-
Initial
System
Repair System
Other Factors (.1946): 1f
Site Classifi
1948
ti
t
Available
Space .1943
ca
on
system im*fi)
c
Evaluated By:
Site LTAR
Others Present: 0