IPAC RRRHTE# oc; - 5'=13DO X /011
Improvement Permit
A building permit cannot be issued with only an Improygment Permit
PROPERTY LOCATION: Mfr-: 1
ISSUED TO- 4A C t -td ~J a~1 SUBDIVISION LOT #
NEW REPAIR ❑ z ~XPANSI N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Q JK4 17 (c
Proposed Wastewater System T Woe: c.~ d eA+'.
Projected Daily Flow: o GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes 1440
Pump Required: ❑Yes ❑ No ER May be required Pb ed on final location and elevations of facilities
'as
Type of Water Supply: ❑ Community ❑ Public Well Distance from well A feet Permit valid for [~Kive years
Permit conditions: ❑ No expiration
Authorized State Agent:: `tel. ~ C e Date: /2- i IZ t 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the th 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, .1957, .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 T0:~'r n~ 1 c, ayf PROPERTY LOCATION:
Facility Type: F D ~ew
Basement? ❑ Yes No Basement fixtures? ❑ Ye,S
Type of Wastewater System** f1Lk' -t
(See note below if applicable
SUBDIVISION LOT #
❑ Expansion ❑ Repair
❑ No
S-L 4-14-)( 1 _-6- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 4OO gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: aQ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
V-e C- O "r
(Initial) Wastewater Flow: 5o GPD
Trench Spacing: 2 Feet on Center
Soil Cover: _P) inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
fE_ r
I **If applicable: /understand the system type pecified is different from the type specified on the application. / accept the specifications o/ thin 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 coTRUao4S 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 Age Date: il-Z Zoo
Construction Authorization Expiration Date:
Harnett County Department of Public Health 2 5 81 3
HTE # d - "d43 )cz ,)Q A- Permit # k rT 0
Harnett County Department of I-Niblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: ~c~ yr d l SUBDIVISION
LOT
L
Authorized State Agent " Date: Z;" ,11 A-
I
G--
f v~?
f A~ A
d"' S `
` ~C
7
%,4
06` A /vv
1~ 0 ~c BEd.
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ lic ❑ Individual Well
Evaluation Method: ger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
i
E
Position/
Depth
.1941
.1941
Soil
.1943
.1936
1944
Profile
#
Slope %
(In.)
St uctwW
Consistence
Wetness/
Soil
Spiro
.
Restr
Clan
Texture
Mineralogy
Color
Depth IN.
Class
Horiz
& LTAR
f
/
C,
C) C,
Q-~~ 2,r
/0-30
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classifi
ti
1948
f
Available Space ,1943
ca
on
h
-
stem s
-
2
Evaluated B
i>e '
y
Site LTAR
- 1
'r
Others Present: