IPAC RHTE#a9-~s -~~LYb 1Z Harnett County Department of Public Health 2 5 6 2 4
Improvement Permit
A building permit cannot be issued with only an Improve ent Permit
PROPERTY LOCATION:,c
ISSUED T0: ~?--~'~o~Je/ dv` 1a~ll+ en~ SUBDIVISION v j..lkl-r LOT #+2
NEW ,e' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :
Proposed Wastewater System Type: Lrin \f-
Projected Daily Flow: X( o GPD
Number of bedrooms:._ 7 Number of Occupants: L max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No Eel Mai e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~t Public ❑ Well Distance from well feet Permit valid for B'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ' G fff Date: 22- 'ZOO SEE ATTACHED SITE SKETCH
The issuance of this permit a Health Department in 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: Weo, ..T~d, /-'J4 e-A- PROPERTY LOCATION: l/+c- 41e•A-XJ
Facility Type: --'r-FJ) ?"New
Basement? ❑ Yes Lam" No Basement Fi tures? [)Yes
Type of Wastewater System*' C din
S t b I ;f I; bl ❑
SUBDIVISION 254 ,i% ~I,- Ic" LOT # P~',4
❑ Expansion ❑ Repair
❑ No
( ee no e e ow, I app Ica e )
C 0 -of t a (Repair)
Installation Requirements/Conditions Number of trenches a.
Septic Tank Size OUG gallons Exact length of each trench 27 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. JO3C inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
e Cj : r~ .4 Art-- G -a 2Q P,&- : A, e n 1 1:
(Initial) Wastewater Flow: O GPD
Trench Spacing: 9 Feet on Center
Soil Cover: a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: inches above pipe
inches total
V c~ C o-J& c rT $ f C ! .
I * If applicable: l understand the ystem type specified is different from the type spelled on the app11w1on. / accept the .rpec1f1cationr 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 rnndifinns M At, --it gr ATTArurn CITIP CUM
7Authorized State Agent C` L Date:
Construction Authorization Expiration Date:
HTE# Permit # o~5-(.Zq
Harnett County Department of Public Health
Site 'ketch
PROPERTY LOCATON: V c-
ISSUED T0: G ~~r- ~J2de ~dp K.e.- SUBDIVISION o. J c~ e r LOT # r~,A
Authorized State Agent Date: yl 1
171 t
1
f~
f
s`
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot
SOILISITE EVALUATION
File
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: t~ !~l 6'f
Address: Date Evaluated: l
Proposed Facility: Design Flow (.1949):
Property Size:
Location of Site:
Property Recorded:
Water Su
l
[
pp
y:
tic ❑ Individual El Well ❑
Spring ❑ Other
Evaluation Method: uger Boring ❑ Pit ❑ cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
SOIL MORPHOLOGY
OTHER
L
.1940
L
&
.941
PROFILE FACTORS
E
#
an
cspe
Position/
Slope %
Horizon
Depth
(la)
.1941
StructwW
.1941
Consistence
.1944
Soil
Wetnew
.1943
S
il
.1936
.1944
Profile
Texture
Mineralorv
Color
o
Depth IN.
SWO
Clan
Rew
Horiz
Clan
& LTAR
G-
r-
-3~
4 /lc
e-67L-
f Vlfc(
~
-mil8 C
JK-- vlfr rP
f
.
Description hritial Repair System Other Factory (.1946).
S step! Site Classification (.1948):
Av
bl
il
S
a
e
a
ce ,1943
S a Lc~✓ c c,1 Evaluated By:
Site LTAR Others Present: