IPACHTE#Harnett County Department of Public Health 25951
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION 44
ISSUED TO: r~, SUBDIVISION i . 1a LOT # t/
NEW C REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: cS` t r3
Proposed Wastewater System Type:
Projected Daily Flow: 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes &NNoo
Pump Required: ❑Yes Lrl No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: 11 Community Z' Public ❑ Well Distance from well feet Permit valid for 0-
ve years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 2a I e SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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: eS- Carzp PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: S-1,/ 40 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pp f i (Initial) Wastewater Flow: GPD
(See note below, if applicable D
(Repair)
Installation Requirements/Conditions r Number of trenches
Septic Tank Size 000 gallons Exact length of each trench _ ~ a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: ? Feet on Center
Soil Cover: (O inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
(~yy"nditions:.~ 8
QA .t'ek-
inches below pipe
inches above pipe
inches total
cfc ~ s
OIL ! CD -t-+, ~c..rt G # I e 1 I- -rl
**If applicable: / understand the system type speciped is different from the type specified on the applicdtian. / 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
iumuuumn Humunranm is subject to comphance 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 Agent: a Date: 02 9 gala
Construction Authorization Expiration Date: 3 Z ~2o1."r-
HTE# l a S a.3 Ell Permit #
Harnett county I)epa lment of Public Health
Site Sketch
/ f PROPERTY LOCATON: -.4 -
ISSUED T0: SUBDIVISION T` e.1 ice LOT # fl
Authorized State A ent:
8 Date:
T 7c hz~ 3f~ s` had- ham,/I4-
Ci.S J- 4Y z w E1 SC C. S-/S TQ
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Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOILJSITE EVALUATION File
Cam:
for ON-811E WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: -74-4,46
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public C] Individual [I Well ❑ Spring
Evaluation Method: ❑_~Auger Boring ❑ pit Type of Wastewater. Sewage El Industrial Process ❑ Cl cut
Infixed
P
R
O
F SOIL MORPHOLOOY OTHER
1 .1944 .1941 PR067LE FACT(
EL L Wkaapaao/ Haauon .1942
* Depth .1941 .1941 Soil .1943
Slope'X (110 shaft" Conswee" wefnew sod
Texture Mimnb Color Depth IN.
4C - Vj o _C- l-~
73-
/.1C t f
f i _ L.......
❑ Other
.1936 .1944 heft
Sapro Reatr Clay
Class Hans A LTAR
J
.6
umm Repair SYatem Other Factors (.1946):
System Site Classification (.1948r ~f
AvailableS ce .1945
s . Evaluated By: r'
Site LTAR Othas Prewnt: