IPACHTE# 01 - 500- ~asa~ Harnett County Department of Public Health 2 5 51 1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~~~~~~ff PROPERTY LOCATION:
ISSUED TO: tit ~t ! I ~~Y1L S SUBDIVISION CA a A i,3 n S LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: FO- (erg Y 3-7 _ 9(Z-
Proposed Wastewater System Type: S l- QeA-~ Ss t
Projected Daily Flow: 3 t"3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No -k May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Pu lic ❑ Well Distance from well ~JL-~,_ feet Permit valid for. Five years
Permit condifons: A - t„W ('3c1 '44 ❑ No expiration
Authorized State Agent:: Lj v. 1, J~-5 Date: LJ't-/S-0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the N th Department m 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, .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: l~6e-,Z J,r°a id {'kYli'lC 5 PROPERTY LOCATION: Id" 31
SUBDIVISION 011ejZw • -S<A -i 5 LOT # f03
Facility Type: 560 bg X 37 - 3 QAV~ (~Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EgfNo
Type of Wastewater System" 2CL ALI(-c,r. S r, (Initial) Wastewater Flow: '3(o !s GPD -51 (See note below, if applicable 5~ Ili
V t( L~ J_3 e k- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 CO gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of I S - ) q 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
inches above pipe
inches total
If applicable: / understand the system type specified is diflereat from the type specified on the app/icaa n /accept the specifications of this permit
Owner/legal Representative Signature: Date:
TL;. f...........:.,.. A...L
I ...or- - 1-1-.1 ll pl' -t F.ml, YISt, Ul tilt IUt-UCU ❑le wanges. !He consuucnon Aumonzanon snau not he transterreo 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: LJ Date: '0J f-3 1
Construction Authorization Expiration Date: a ~ - I S- - o)n
HTE# ~2 )5d3 Permit # 9 M I
Harnett County Department of F`ttblic Health
Site lk v ketch
/ PROPERTY LOCATON: tv?~
ISSUED TO: CUM j~d c) SUBDIVISION LOT # f~3
\1A
Date: p~'/~-- 11
-X43 D-J
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: n
Proposed Facility: f Design Flow (.1949):
Location of Site: Z 12a(
Water Supply: 64public [ j Individual [ J Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater: (Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring (j Other
( J Cut
( j Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
I Texture
.1941
Consistence
Mineralogy
.1942
SoN
Wetness/'
Color
.1943
SON
Depth IN.)
1956
Sapror
Class
.19"
Rests
Horiz
pMflls ;
Class
& LTAR
0-
Cot
'J//z_
1
12
CAA- J L
V j/t-
t
(2 J
v/~
i
CAA 1
F
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
L.,
Others Present:
/