IPACHTE#,ro-r = RY-3 Harnett County Department of Public Health 2 9 9 4
Improvement Permit
A building permit cannot be issued with only an provemenLfjeofit
PROPERTY LOCATI : 4Z%:J. lk
ISSUED TO ~nc• er,/ SUBDIVISION s-t" f a ` Y LOT # 1C
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ba
Proposed Wastewater System Type: arX a .11 f er•~
Projected Daily Flow- 6 GPD
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes o
Pump Required: ❑Yes 2'Flo ❑ May be required based on final location and elevations of facilities
Type of Water Supply ❑ Community 21~`Fublic ❑ Well Distance from well feet Permit valid for. ETTive years
Permit conditions; ❑ No expiration
Authorized State Agenc: Date: 2- 2wa SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health Department in o 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,
with the attached system layout
.1954, .1955, .1956, .1957,:1 % and .1959 are incorporated by references
into this permit and shall be met Systems shall be installed in accordance
ISSUED T0:
PROPERTY 'LOCATION: : ~wt• /6,
Facility Type: ftF~
SUBDIVISION o, , e
New ❑ Expansion ❑ Repair
A. LOT # L6 F
Basement? ❑ Yes ❑ No Basement f
ixtures? ❑ Yes ❑ No
Type of Wastewater System" o2S- ~
%,~~vf
(Initial) Wastewater Flow: 6 6 GPD
(See note below, if applicable
~2 S'"'t
e~u~T ti, ~yI k- (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size Z6% gallons
Exact length of each trench So feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shali be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of: 30 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 pipe
1. Aggregate Depth: inches above pipe
~ cs.r~cr,,('~ inches total
4,
*If applicable: / understand the system type specibed is different Isom the type speciTed on the application. / accept the specil2mionr 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
Authorized State Agent 'lam Date: e, ~lal0
Construction Authorization Expiration Date: z zoelcs
HTE# o2Y 37C Permit # J- 2 5 V
Hal'rlett C0"HttiT Department of Public Healtll
Site Sketch
PROPERTY LOCATON: `CJc c,-
ISSUED TO: ~ l J, SUBDIVISION a ' e } LOT # f 6
Authorized State Agent: Date:
~sCa
ICI
/S-u ~
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOHJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address Date Evaluated: f - /z 4 IXI'
Proposed Facility: Design Flow (.1949): Property Size:
Location of Sits Property Recorded:
want supw ~bfic ❑ Individual ❑ Well ❑ Spring ❑ other
Evaluation Method: ese,
get Boring ❑ Pit Cut
Type of Wastewater a
ge ❑ Industrial Process H mixed
P
R
O
F
SOIL MORPHOLOOY
OTHER
1
L
.1940
L
W
.1941
PROFILE FAt"COR3
9
#
a
se"
Position/
slol" %
Horizon
DqA
00
.1941 .1941
St
d"
1941
soil
1943 .1936
1944 proms
u
Condstem
Ted Mirssnlo
wetnenl sod sspro
Color QV
Restr Cho
. Clay
Hans. ALTAR
Pd
7
wiat
R ap* sYlum OtherFactors (1946,
&V6&bls
s
1943
ts Clarification (.1948,
s ,tea r
Evaluated By 07-
S a
ite LT 'Alt
Others PrexnhV