IPACHTE#,,')g =a3 Harnett County Department of Public Health 2 5 8 0 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: {--G vj sr`" Ce t-'OA.
ISSUED TO: - e iIC cs~Gl' SUBDIVISION siaa.r+l P -e /j LOT # s`"
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: jl~l 8
Proposed Wastewater System Type: C6~~J~a:c
Projected Daily Flow: ,2(a CS GPD
Number of bedrooms: 3 Number of Occupants. L max
Basement ❑Yes 2.6
Pump Required: ❑Yes ❑ No (Maybe required based on final location and elevations of facilities
Type of Water Supply: El Community R ~Public ❑ Well Distance from well feet Permit valid for: P' five years
Permit conditions: ❑ No expiration
Authorized State Agent:: /"1 a C' ✓ Date: z /.ZL Ol SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department inn 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: ewi, PROPERTY LOCATION: t-, o.wt~ emit , d.
SUBDIVISION C : .1 A t, ;*I crn LOT # S"
Facility Type: S~ -2'IN 'ew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ es ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ' /000 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. ,20 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
Aggregate Depth: inches above pipe
Conditions: c» ` Jdti5! Qn C-e--A mss/
inches total
**If applicable: /understand' the system type specified is different from the type specified on the app/ication. / accept the specifications 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 co 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 AgenZ L* Date: ~Z00
Construction Authorization Expiration Date: vZ Il fl
HTE# U9~s =a~~/~
Permit # a sy-" X-
Harnett County? Department of Public Health
Site ketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION / LOT #
Authorized State Agent Date: 9
j f'7
ueparUllum UI c11v11U1 III ICI It, MWItl 1, d11U NdtUldl 11C,UUIUVC
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTENI
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
(-Pp lic (J Individual
['1 9er Boring
[ Sewage
JI luluk.
Property ID:
Lot
File
Code:
Applicant:
[ J Well
[ ]Pit
[ ] Industrial Process
e
Date Evaluated:
Property Size:
Property Recorded:
O Spring
(j Other
[ ] Cut
Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTO
S
1
L
E
#
.1940
Landscape
Position/
Slope%
f'
Horizon
Depth
IN.)
0-44
.1941
Structure/
Texture
G- ZIF
.1941
Consistence
Mineralogy
.1942
SON
Wetness/'
Color
.1943
SON
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz.
Profile
Class
& LTAR
~7
0-- C-1
Zj
U, (Y-- Ev
Description
Initial System
Repair System
Available Space (.1945)
r
System Type(s)
C
C LJ
Site LTAR
r `
r
✓
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: ~
Others Present: