IPACHTE# C 9 S=-2ait 7 Harnett County Department of Public Health 2 5 6 3 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO
ISSUED TO: BC /IGis~cf 1'-tc. SUBDIVISION _ , ( ~ c r,•..f LOT # Y
NEW I/ REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J-F q ~ l x gy
Proposed Wastewater System Type: C~ryo
Projected Daily Flow: 4 GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes E No
Pump Required: ❑Yes ❑ No Ld be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for. il'-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: d -A 'N cz._ E Date_ 00 r/ SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 layout
ISSUED TO: Ak~ PROPERTY LOCATION: t kcI.
SUBDIVISION E> -LOT # J-
Facility Type: -r1Cp LAS New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 9S1& 1214~c ; o n (Initial) Wastewater Flow: 6 GPD
(See note below, if applicable
S" 4- u,-, -~yJ M (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size AOQ gallons Exact length of each trench ,-13 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 16 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: d.*, i4,o4 rvrN, 6 1~ o o
„ - -,1- > - i- <u ,--luo It we me piau, prat, or me mrenaea use changes. ine construction Authorization shall not be transferred when there is a change in ownership of the site. This
lonsttucnon Authorization is subject to compl' 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 f Date: c,
Construction Authorization Expiration Date: c aFi
Trench Spacing: Feet on Center
Soil Cover. % ' fo inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
o o We d inches total
e cw F' t wl_ l ~ i✓`C M
C-A t/ 011)i"
11)i ~ d_a ~ ` C xyJ- -e -
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the spec1f1w1ons of this permit
Owner/Legal Representative Signature: Date:
HTE# 0%-5 a~-~I3 Permit # ,4rt 3Y
Harnett County Department of PW)lic Health
Site ketch
' f PROPERTY LOCATON: Q " rt ~I.
ISSUED T0:BC Neer` y',t SUBDIVISION e r LOT # FV
Authorized State Agent: Date: /y Zoe
f
!o
r
i7a 1 s
~s
3~ I r ,
r
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plirant: /
Date Evaluated:
Design Flow (.1949):
Property Recorded:
ff Pubhc ❑ Individual ❑ Well
Q' Auger Boring ❑ Pit ❑
❑'Sewage ❑ Industriai Process ❑
Sheet:
Property H):
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Lampe
Position/
Slope %
Horizon
Ihpth
(1n.)
.1941
Struchaw
Texture
.1941
Consistence
-Mineralogy
.1941
soil
webm"W
Color
.1943
Soil
Dv& IN.
.1956
S"r0
Class
.1944
Restr
Horiz
Profile
Clan
& LTAR
U " 7
a-
C ~J
. /
~N" Jv
f
`~S
S>f.
I f lfx, ~9
_1q
C 1 Q~
Vk-
Description
Initial
Repair System
Other Factors (.1946):
Site Classifi
1948
ti
Available S ce .1945
ca
on
E
l
System s
f
va
uated BY: ~
O
Site LTAR
1.
7s
thers Present: