IPAC RHTE# c~~-s= 2-- 3sP Harnett County Department of Public Health 25631
Improvement Permit
A building permi
t cannot be issued with only an
Improvement Permit
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ISSUED TO-
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PROPERTY LOCATION: F,obcrt end.
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SUBDIVISION 1
kA LOT #
NE
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y
W
REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
rg ~ '4
Proposed Wastewater System Type: oZcS & k " "'-4:' c.. 6
f f e~
Projected Daily Flow:
C613
GPD
Number of bedrooms:
S-
Number of Occupants: O
max
Basement ❑Yes
VNo
Pump Required: ❑Yes
C No
❑ May be required ba ed on final location and elevations of facilities
Type of Water Supply:
❑ Community
❑ Public f Well
Distance from well OC feet Permit valid for. ®'Fve years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: /0 1717°x1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Ifi Department in no rantees 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
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ISSUED T0:. / }t'es e~! ~~/,~g SW{er- PROPERTY LOCATION:
SUBDIVISION 3" H W/-, ~ 4 LOT #
Facility Type: Lf'f New ❑ Expansion ❑ Repair
Basement? ❑ Yes El" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" x.J.,4L:r~- 5-tjJ (Initial) Wastewater Flow: GPD
(See note below, if applicable r
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /a SO gallons Exact length of each trench ,200 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: cQ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: q Feet on Center
Soil Cover. 12- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
r~ Aggregate Depth:
Conditions: Ito^ ckt k• ~'.-je ctn "INta . !/C) "31~(`~~ 'L~
~n,1 .52 t`GP~`, c c.) r- relk - .:Ir 1, s j- b i c P1. .V'r. e,.~.
inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type rpe6led /J different from the type specified on the application. / accept the specificmionr of thin permit
Owner/Legal Representative Signature: Date:
-.1- w is n um vte piau, piar, ui me m[enueo use cnanges. me tonstructon autnonzauon shah not tie transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the taws Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent- v.t ` f Date: o "00`
Construction Authorization Expiration Date: o o1-1
HTE# Permit # d 5-65
Harnett (county Department of Public Health
Site sketch
ROPERTY LOCATON: p~ ~0~v tr rej
A~i .
ISSUED T0: J ke SUBDIVISION 73 - to 4 G LOT #
Authorized State Agen `
lepartmen1 u1 C•livlt U11111t:111, f"ICdlll 1, d11U IVdtuldl nubuUtl.tdb
)ivision of Environmental Health
)n-site Wastewater Section
SOMSITE EVALUATION
for Obi-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
01 ublic ( I Individual
1,TAuger Boring
[ Sewage
R
SOIL MORPHOLOGY
O
.1941
F
1
L
.1940
Landscape
Horizon
1941
.1941
E
Position/
Depth
Structure!
Consistence
#
Slope%
IN.)
Texture
Mineralogy
CI C
6-
VIC- Al'o
3,
A&
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c_
A- ~f~P
JI Ital.
Property ID:
Lot
File
Code:
Applicant:
I r
Date Evaluated: 14, : = f
Property Size:
Property Recorded:
Well (j Spring [ J Other
[ J Pit (J Cut
[ J Industrial Process (J Mixed
Description
ystem
Initial S
Repair System
Available Space (.1945)
/
System Type(s)
Site LTAR
OTHER
PROFILE FACTORS
.1942
Sol .1943 .1956 .1941 Profile ,
WetneW SoN Sapra 1 Rests Class
Color Depth (IN.) Class Horiz dl LTAR
l
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: