IPACHTE# o'~-r =aa7s-C Harnett County Department of Public Health 2 5 6 2 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: o2-
ISSUED T0- 1113n SUBDIVISION M G. A% r- - I l
COT # ~
NEW ~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
~D S
Proposed Wastewater System Type: J6-
Projected Daily Flow: 6 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes RI If! o
Pump Required: ❑Yes ❑ No 'J~Mayy e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet Permit valid for. E~'Fne years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: /~~2QS9 SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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, .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 la out.
ISSUED TO: ~n
, Cw ; 14 PROPERTY LOCATION-
SUBDIVISION A o f LOT #
Facility Type: Lam' New ❑ Expansion ❑ Repair
Basement? ❑ Yes Q- No Basement F tur s? q 'Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: 760~ GPD
(See note below, if applicable (
y! ! (Repair)
Installation Requirements/Conditions Number of trenches z j
Septic Tank Size X gallons Exact length of each trench ] feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: g- ! inches
Maximum Trench Depth of. _d, 0 _ 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
Aggregate Depth: inches above pipe
Condit s: u(~ Jrc-•.~ ~s~ 000.4 Cc.~~c~- 44 f~ inches total
+Q, OJT aL-kfu- 6 U +:1 1 Is cy, U t vJ c.~ S-2. . C
' er L A~ ^ti~J 6 e o ~st'~+ t" _ rr. C.. r-yi Nr Qf IAA .,ft, -Jr
e rs.
**If applicable: /understand the system type specified it different from the type specified on the app/ication. / accept the specifications 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.
Construction Authonzanon 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: r Date: a' o2at q
Construction Authorization Expiration Date: f G/Y'
HTE# Permit # Z5-C 2~-
Harnett County Depalrtment of I.--~ blic Health
Site Sketch
PROPERTY LOCATON: Y
ISSUED T0: SUBDIVISION J. LOT #
Authorized State Agent: Zr--,Yz Date: 1~ ala 1
ix"
>fs
~u
13
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant: /
Address: Date Evaluated: `7 l l A
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: E Public ❑ Indivi ❑ Well ❑ Spring ❑ Other
Evaluation Method: QAer Boring [EPit ❑ Cut
Type of Wastewater: L` J Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
I owls tpe
Position/
Slope X
Horizon
Depth
(In.)
.1941
suuctlnw
Texture
.1941
consistence
Mimnio
.1942
Soil
Wetness/
Color
.1943
Soil
D"di DI.
.1936
SWO
Class
.1944
Restr
Horiz
Profile
Claw
& LTAR
Cl-(Z
-3~
5 kl
Description
lmtial
s 'a01n
Repair System
Other Factors ((1946))
Site Classification
1948:
Available Space .1943
.
Evaluated B
:
41
3 $
.t'
v
y
/
Oth
s Prese
t
4
-
Site LTAR
er
n
:
,
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