IPAC RHTE# 0 - 0M Harnett County Department of Public Health 2 5 8 3 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: cr'~-
ISSUED TO: ~~LA/t SUBDIVISION 4 K rs~ 24
c tnr v+ t'r-
NEW Lam-- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: Co GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes No
Pump Required: ❑Yes LqNo ❑ MMa~'e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lid' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Lel Five years
❑ No expiration
Authorized State Agent::~~-sc;-.~ ~~f{f Date: U SEE ATTACHED SITE SKETCH
The issuance of this permit bye Health Department arFUro'Cv y 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 TO: _ n f ~r u `pit PROPERTY LOCATION: lrje1 l
SUBDIVISION LOT #
Facility Type: .S F 0 LEI New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2""No Basement Fixtures? Yes ❑ No
Type of Wastewater System** aec(~ s'- (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 o2 V r- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: / 8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
is: ~~t Jew a CC.LS~ (en TI ~f6 C~~;
Trench Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Depth:
0-r ~
inches below pipe
inches above pipe
inches total
**If applicable: / undecrtand the ryrtem type .rpeciped is diJ/erent /rom the type .rpeci6e~ on the application. l accept the .rpeci6cations 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 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 Agen Date: ~ol~
Construction Authorization Expiration Date:-% Zo /J--
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P.O. Box 8321
Faysftevft, NC 2831;
PhonelFax 1810) 822-A540
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SORJSITE EVALUATION • SOIL PHYSICAL ANALYSIS- LAJ1ID l.'SS.-.S' :?D$.VISION PLANNING
GROUNDWATER DRAINAGE AAOUNDINGa • SURFACE/SUSSURFACE WASTE TREAT!d "NT SYSTEMS. EVALUATION A DESIGN
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Division of Environmental Health
On-site Wastewater Section
SOIL,SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[4"Public (j Individual
[Auger Boring
[ sewage
P
R
o
SOIL MORPHOLOGY
F
1941
1
.1940
L
Landscape
Horizon
1941
.1941
E
Position/
Depth
Structure/
Consistence
Slope%
(IN.)
Texture
Mineraloov
Y' V 1/ aL
r✓~A119
o Z~l G-
zq s~~cl rci
JI ICCI.
Property ID:(-
Lot
File
Code:
Applicant:
( ) Well
[ j Pit
( I Industrial Process
Date Evaluated: F/C
Property Size:
Property Recorded:
[ j Spring [ j Other
[ j Cut
( j Mixed
OTHER
PROFILE FACTORS
.1942
Soli .1943 .1956
.1944
Profile
Wetnese/~ So# Sapm
Restr
Gass
Color Depth (IN.) Class
Hori2
$ LTAR
v~
/C
vI r'/, z yet
Description Initial System Repair System Other Factors (.1946):
Available Space (.1945) Site Classification (.1048):
System Type(s)
Evaluated By:
Site LTAR
Others Present:
S