IPAC RHTE#,OO- - _3 7 t, A. Harnett County Department of Public Health 2 ' 9 2
Improvement Permit
A building permit cannot be issued with only an I rovement Permit
~f
PROPERTY LOCATION: 1,,.s a--? t
Q z``e
l
ISSUED TO:
-SUBDIVISION
t o c~ LOT #
NEW I<
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
~
r
Type of Structure:
b
aZ
'5
_~J
Proposed Wastewater System Type:
_
c25-& tec -t - -
Projected Daily flow:
ACS
GPD
Number of bedrooms:
3
Number of Occupants: L max
Basement ❑Yes
lo
Pump Required: ❑Yes
❑ No
E May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Communi
ty C Public ❑ Well Distance from well feet Permit valid for: a-riyve years
Permit conditions:
❑ No expiration
Authorized State Agent: ~ ~ ~f~ Date: Y67r C/o SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 it, 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, .1950. 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: k a-7 ,_,-1zf4-
SUBDIVISION -772 $ c" c LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ _Yes No
Type of Wastewater System** S" f ` e w cJyf (Initial) Wastewater Flow: -716 0 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches d2,
Septic Tank Size /Q00 gallons Exact length of each trench 0 feet
Pump Tank Size gallons Trenches shall be installed on conto r at a
Maximum Trench Depth of: o, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
d~'c~~~1 of e
Conditions:
I~~ ck~ ft ~J
Trench Spacing: g Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth: _
r
inches below pipe
inches above pipe
inches total
G..il, f a - j4 ; -
If applicable: / understand the system type specified is different from the type specified on the application. / accept the specircationr 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
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
i
1
Authorized State Agent: t Cc* Date:
15
Construction Authorization Expiration Dater 1~
HTE# Permit # 7~
Harnett County Depailment of Public Health
Site ' ketch.
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION .',i Qh c t LOT # 9
Authorized State Agent: oC Date:o ~2 t
r
Gblq
zc,~
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SI TZ WASTEWATER SYSTEM
Owner. Applicant: /
Address: Date Evaluated G
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply; [ Public ❑ Individual ❑ Well
Evaluation Mdhod: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFR.B PACfOR3
L
E
N
Landscape
Position/
Slope %
Horizon
Depth
(ln.)
1941
stract rw
Terre
.1941
Coroistence
Minardo
.1942
Sol
wetna!
Color
.1943
Sol
DqA IN.
.1956
s"M
Clan
.1941
Re*
Hai:
Proft
ch"
ALTAR
Y-
S IC l~~
X--
(/,2 7/ ve
-3
,
V?1~
~f
aelfCl
Other Factors (.1946k
Site Classification (.1948y
Evaha ted By:
Others Present.