IPACHTE# Harnett County Department of Public Health 2 5 6 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: VJE rCcf-
ISSUED TO: c Ae, L cc , SUBDIVISION ~~en G-n Fc tk.J LOT # JV-
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: e
Proposed Wastewater System Type: a~ ~r✓ c~.` ovi f" J
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ®INo
Pump Required: ❑Yes ❑ No Clay required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IS Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Ei-five years
❑ No expiration
Authorized State Agent:: Date: /0 y/o2VIC cj SEE ATTACHED SITE SKETCH
The issuance of this permit by tf~lth 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: PROPERTY LOCATION: f z
SUBDIVISION e~I o..1a.r,t. r LOT #
Facility Type: J~F l7 [mew ❑ Expansion ❑ Repair
Basement? ❑ Yes [-moo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** czr 4 k'= d vc,4 C, !n, .5 (Initial) Wastewater Flow: CS GPD
(See note below, if applicable
g l2~ v c : ~i P% J/.PIr- et. (Repair)
Installation Requirements/Conditions Number of trenches -4
Septic Tank Size 0G 0 gallons Exact length of each trench 60 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ~e2 V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: ( )O Q4, I,' P- ~r l~acs~
4-
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
regate Depth: inches above pipe
inches total
**If applicable: / understand the system type speciped is different from the type specified on the app/ication. / accept the rpeci6catiof 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
Lonstrucnon Authorization is subject to compli ce 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 Agent: f Date: d f z0c '
Construction Authorization Expiration Date: Jzkkoli~
d
HTE# 6 9 `,5-- o W Permit # a, (3 5
Harnett County Department of Public Health
Site ketch
PROPERTY LOCATON:
ISSUED TO: ~a{•~.~c. SUBDIVISION ct~•~ LOT
Authorized State Agent:~~ Date:
PIS 7a /eQC/IC4 ;a,-,
fa
a►~
t
1l'~1
, /f't K CS. C m J . t'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOHJSIT'E EVALUA'T'ION
for ON-SFU WASTEWATER SYSTEM
Owner: Applicant: /
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Date Evaluated:
Design Flow (.1949):
Property Recorded:
tPublic ❑ Individual ❑ Well
Auger Boring ❑ Pit ❑
Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
I
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Lampe
Position/
Slope %
Lit
Horizon
Depth
(In.)
2~(
.1941
swxu w
Texwe
C' 4
.1941
Consistence
Mineralo
.1942
Soil
webm w
Color
.1943
"I
DetAh IN.
.1936
Sapro
Clan
.1944
Reatr
Horiz
Profile
Gass
& LTAR
Lt~ z~ -
o6c 0,<
f
z
J 7
C ~
V ll-- ~
Other Factors (.1946):
Site Classification (.1948Y
Evaluated By:
Others Present: