IPACHTE# 0 9-~s=a3V68 Harnett County Department of Public Health 2 5 81 6
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: IT
ISSUED TO: 6 P, A SUBDIVISION
LOT #
NEW -€PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ""8 -4 ya
Proposed Wastewater System Type: Cca.t~ IZZ
Projected Daily Flow: '3(~ 4 GPD
Number of bedrooms: -3 Number of Occupants: C max
Basement ❑Yes i?hlo
Pump Required: ❑Yes ❑ No 14 a be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. + Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: v- & Date: /la-" /o SEE ATTACHED SITE SKETCH
The issuance or this permit by the fealth Department in no waguarantees 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 .19SQ, .1952, 1954, .1955, .1956, .1951, .19% and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
SUBDIVISION
❑ Expansion ❑ Repair
❑ No
pp a e ) ~
`-'L `44-4 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size W0 gallons Exact length of each trench ZOO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Facility Type: /V 21 New
Basement? ❑ Yes F-1 No Basement Fixt res? ❑lYes
ife
Type of Wastewater System** ~.1
(See note below if a Ii' bl ❑
ISSUED TO: PROPERTY LOCATION: /tk- Caw
GPD
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
LOT #
(Initial) Wastewater Flow: - A d
Trench Spacing: Feet on Center
Soil Cover l inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions::.. `r..~t -{t, be.
/a l ~-af !`~rec~- a ~T
inches below pipe
0- inches above pipe
3
l~ inches total
*~If aaolicable: l understand the ,ryrtem type rpeci>red is diNerent from the type rpecited on the app/icafion. /accept the ,rpeci~cationr o/this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site olan. olat or the intPndad uca rhanae~ Thn C-",,,nnn d w6 n-fi- <hA ear 6 rr-f-.4 -k.. 1k.r. , .A,- 1., r L. Ti.:.
Construction Authorization is subject to compliance 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 t- elf Date: Cl
Construction Authorization Expiration Date:
HTE# Permit #
Harnett, Connty Department of ll ~iblic Health
Site sketch
PROPERTY LOCATON: ~C X27 C~
ISSUED TO: <nA SUBDIVISION LOT #
Authorized State Agenr c. , &i,~Ilr Date:
f
si
/ r
( ,d
s
FDA-d,
P
1 At
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c~
IV~C 77 6&F(
Depia went of Emir namt, Heal _A Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Date Evatm tod: `
Proposed Fatality:
Design Flow (.1949):
Location of Site:
.
Wat
Su
l
Prop" Rieoorded.
[3'Nbh
pp
y
er
c ❑ Individual ❑ Wen
Evaluation Method:
(j _ Auger Boring ❑ Pit ❑
Type of Wafewater:
Cy Sewage ❑ bndustrial Process C7
Sheet:
Property ID:
Lot 0:
File
Code:
Property Size:
❑ spring ❑ other
Cut
Muted
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
M
LWAIM
Slope %
-777
Hoeim~
app
(bL)
.1941
sbuch"
Tab"
1 G
.1941
Caoaiat
Mio~ralo
r/ f
.1941
Soil
wdnew
COW
.1943
Soil
.1936
Swo
Chow
.1944
ROW
Hais
Probe
Chm
A LIAR
~r l
f f`
Alt
Vry
~ l
Its
✓.~Y~~r i
j ~
i J
.+r-+.~...w um9w Kapat 3yolm Oth 1'mtors 1740);
AvailaW S 1943 , Site Classification (.1948} tJ
Evahaled B)r a-
Sim LTA)! d~ Others Amsmt: c