IPACHTE# -s z Harnett County Department of Public Health 2 5 6 2 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ii PROPERTY LOCATION: -i-1-- -rte (3~~ ► h~y~~f vw~
ISSUED TO: K'Z:' SUBDIVISION t ` 'z LOT #
NEW C~--' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: b 5vt o~
Proposed Wastewater System Type: C a1 c-^4-
Projected Daily Flow: J O GPD
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes 210
Pump Required: ❑Yes 211o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community tJ Public ❑ Well Distance from well feet Permit valid for ff-T 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ,4 Date: 2Cq SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department inTO~ 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 it 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: 12~t-h J ~A A" C PROPERTY LOCATION: /~aer.ct ✓L
SUBDIVISION LOT #
facility Type: i" 0' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" cr ky'-- ~ -u,"Q- (Initial) Wastewater Flow: J~b GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench
,AW feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover: fo inches
Maximum Trench Depth of: 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
~L c+ / Aggregate Depth: CZ inches above pipe
C ditionsC 'q f-i ~c Tvr Y" s-C~ 1 v.s inches total
o a n ,z~iS' e_ o, r- C-S
*If applicable: / understand the system type specified is different from the type specified on the app/station. / accept the speci6cdtions 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 compli a with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
~ r'
Authorized State Agent Date: tad q
Construction Authorization Expiration Date.9
HTE # o'f- s- as a Permit # mss" ~,Z e
Harnett County Department of Public Healtb
Site Sketch
i PROPERTY LOCATON: l ~o.N• ~t 4,fc
ISSUED TO: f e h• ~cn+• • t SUBDIVISION LOT #
Authorized State Agen.,c, Date: .Z Srl 2 ac
jk3,z~ f
-rh,.C.r , CX~.
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIIJSITE EVALUA'T'ION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: 9 / 2
Proposed Facility: Design Flow (.1949):
Location of Site: ^J Property Recorded:
Water Supply: Lei lic ❑ Individual
Evaluation Method: uger goring ❑ Pit
Type of Wastewater: [Sewage ❑ hwustriai Pr
G
Property Size:
❑ Well ❑ Spring ❑ Other
❑ Cut
ocess ❑ Mixed
P
R
O
F
I
L
1940
L
d
SOIL MORPHOLOGY
.1941
AR
PROFILE FACTORS
E
#
an
scape
Position/
Slope 'A
Ss"
Horizon
Daptb
(In)
Z rR
.1941
structr w
TeaA/uro(~
Cr !
.1941
Consistence
, Minmlo
V!!r' (IfV
.1941
soil
wetness/
Cola
.1943
Soil
Deptb (IN.)
.1956
Sapro
Clara
.1944
Rear
Hariz
Profile
Claw
LT
ff~l
2
t
/
t- - 3
,
All
J`jt
o--,17
vFi ~j
Description
available 3 ce .1941
S stern a
site LTAR
Irrittial Repair system Other Factors (.1946):
s stain Site Classification (.1948V:
Evaluated BY: /J
6
Others Present: K ~Lc Eta