IPACHTE# 0~-s- 9.;-l1~-' Harnett County Department of Public Health 2 5 6 3 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C" 7.-Q-," +~xl.
ISSUED TO: '8r,,diI y vv N' SUBDIVISION TRH d~S ,u " f ?L LOT #
NEW P" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F D XC. <3 `
Proposed Wastewater System T pe: c, C IU-
Projected Daily Flow: Q GPD
Number of bedrooms: vs Number of Occupants: max
Basement ❑Yes 111o
Pump Required: ❑Yes P o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 4 Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: w C% Date: cc) is 2ov? SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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, AN, .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: .Br'"jIt„ Bv"/ - PROPERTY LOCAT N: "C.f" Ic,:~
SUBDIVISION c. czAr /L.4 T LOT # )7J-
Facility Type: 57;lc-p ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes D'--No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' (Initial) Wastewater Flow: d GPD
S b I 'f f bl ❑
( ee note cow, I app Ica e )
V,41 '
' °c~k
, ,
.
(Repair)
Installation Requirements/Conditions
Number of trenches o2
Septic Tank Size 000 gallons
Exact length of each trench 7s" feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of, _ 2V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions: loo ~ 4-:,1 rJ'_Q 1~ec+ ryJ-
9_ c~.r IQ
Trench Spacing: 9 Feet on Center
Soil Cover: /Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: -Z inches above pipe
i inches total
**If applicable: / understand the system type specified is different from the type roecifed on the 7pplic2tion. / accept the rpecircitionr of this permit.
Owner/Legal Representative Signature: Date:
I> NutI-Ldt-1 n mufeu to revocation n me site plan, prar, or me mtenaea use changes, the tonstruchon Authonzahon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complian 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 Agen/k 14 t LIS Date: a Z
Construction Authorization Expiration Date: ~ S" I
HTE# Permit # a s-(. 3S
Harnett Connty Department of Pl bli c Health
Site Sketch
PROPERTY IOCATON:
ISSUED TO: v /'c° a 1 SUBDIVISION rn Q~I ,prf LOT #
Authorized State Agent:, Date: /lJk~e o S
/I
i
,2f t
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: f
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: ,Property Recorded:
Water Supply: tic ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOOY
.1941
THER
PROFILE FACTORS
L
E
#
Lampe
Poftoo/
Slo"
Horizon
Depth
(In.)
.1941
struct"
Texture
.1941
Consistence
Mineralogy
.1941
soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
ReW
Horiz
Profile
Class
LTAR
Description
Irritial
S stem
Repair System
Other Factors (.1946).
Site Classification (
1948):
Available Space .1945
.
Evaluated B
:
stem TYLX(s)
oG J
C s
y
Others Present:
Site LTAR