IPAC RHTE#LO Harnett County Department of Public Health 2 5 8 5 0
Improvement Permit
A building permit cannot be issued with only fi~!Trovement Permit
~f
ISSUED C PROPERTY LOCATION; / r .t r
T0: f~ G~ •-1-1 SUBDIVISION 7i •14t•, ? c',- LOT #A _G -2_
NEW El' REPAIR ❑ / EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Fb L0. f . Y
Proposed Wastewater System Type: -1:00 d ~.1 iF n
Projected Daily Flow: ~(a0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ~W
Pump Required: ❑Yes 2""No ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for. P-F-ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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 T0: PROPERTY LOCATION: e-d
ET/New SUBDIVISION .`n.~ qc,- LOT #_~7 _
Facility Type: El Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System- ~L 5- 4 --A c-~`~ ~a Sr r~ e,. ~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
QZ S`f- '4E!J (Repair)
Installation Requirements/Conditions Number of trenches I /
Septic Tank Size Z000 gallons Exact length of each trench A/ feet Trench Spacing. 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /a- /g inches
Maximum Trench Depth of- 6-S - L' 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 i
Conditions:
J-E f-!Lej Awed ;1
/ MV`' I6
F pe
Aggregate Depth: inches above pipe
AI J
inches total
**If, applicable: / understand the system type specified /s different from the type specified on the application. / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
1--gm. "it Uuxruwun numonzanon snau not De transterreh when there is a change in ownership of the site. This
Construction Authorization is subs to compliance with prot> nns of,
laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: eE~ Date: > )0
Constr n Authorization Expiration Date. 3])-1
HTE# t O - 5- a 3 (Z Permit # 9,5$ 5b
Harnett County Department of I-lablic Health
bite Sketch
PROPERTY LOCATON: l Na G C- 4
ISSUED T0: A rv'S2P.L~~ta C5 SUBDIVISION 1 tNC-&„a Psc,E LOT # r.
Authorized State Agent: F-c 113L~Z oac& Date: 3~ x"11 ~0
LS6'
34~ POwESL I- L-
Gr~s
rtE,~a.2.~` 1
vcq
►U
G ~
36' R
v
S Ar10~'J ~ N ~ ~N
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plicant: 6
Date Evaluated: 7 / I i ~,Z,~, / Design Flow (.1949):
Property Recorded:
[Public ❑ Individual ❑ Well
Auger Boring ❑ Pit ❑
❑ Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
NGxed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Tudors
.1941
Consistence
Minaraloo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
dt LTAR
/
Deacrip6on
Initial
S
Repair System
Other Factors (.1946):
Site Classifi
ti
1948
f
Available Space .1945
ca
on
E
l
'
S stem Type(s)
Z
va
uated By:,O:
ti
Site LTAR
~~nt: o