IPACHTE# /Q-,5` = .7,c/-7Z(_
Harnett Count
De
artment of P
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Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO ~
~
PROPERTY LOCATION: t+ t
~
Wit t
t
,roc! SUBDIVISION
.
+
NEW2'
Type of Structure:
REPAIR ❑
(
,
LOT # 112-
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
c~
`
9
) m
Pr
d W
f
;
opose
astewater System Type: ~
tn.
cel
bra
Projected Daily Flow:
GPD
N
b
f b
d
3
um
er o
e
rooms:
Number of Occupants: L max
Basement ❑Yes
C"No
~
,
Pump Required: ❑Yes
❑ No
M" be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community
7 public ❑ Well Distance from well feet Permit valid for.
Rr rive years
❑ No expiration
Authorized State Agent:: 4-
Date: ~ V SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in ay 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 I gout.
ISSUED TO: PROPERTY LOCATION:
SUBDIVISION ~t L f LOT # l12
Facility Type: Ir New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'--No Basement Fixtures? ❑ s F-1 No
Type of Wastewater System** v e-A a 1 (Initial) Wastewater Flow: 3~ U GPD
(See note below, if applicable
5-/, ~ecQ ~c : ~rati f,.r l-, (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench /rD feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. AY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
~t~/3 +~rK a r fc ¢ C, V'r ' f-. A
T C
C.
'a
~tuf F
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
A regate Depth:
w el , n
L inches below pipe
'1Z inches above pipe
k inches total
,41-
undeatand the svfteni type ,rpeci6ed it different from the type specified on the application. / accept the speclflwloar of thin permit
Owner/Legal Representative Signature: Date:
this Construction Autho izat on is subject to revocation if the site plan, plat or the intended use changes. The Construction Authonzation 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: MI Construction Authorization Expiration Dater /Sl-°'
NTE# _a - - q7;Z L Permit # o h I 'Q ~
Harnett County Depa littent of Public Health
'Site "ketch
PROPERTY LOCATON:
ISSUED TO: c6L-4-1 L>j~ If SUBDIVISION 7" f LOT # It" 2
Authorized State Agent
Date:
Ili
r
"o 0~
t
10
3a
I i
f
Dqwrtrnent of Environment, Health and Natural Resonrcq
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot:
SOEUSIITE EVALUATION
File
for ON,SITZ WASTEWATER SYSTEM
Code:
Owner. Applicant: 4-
Addrw: Date Ewaluated:
Proposed
Fatality: Design Flow (.1949):
Location of Site:
Property Size:
Property Recorded
Water supply;
Public ❑ Individual ❑
Evaluation M
thod
well
❑ Spring ❑ other
e
:
Auger Boring 0 Pit
Type of Wastewater: ❑'Sewage ❑ Industrial Pro
e
cut
c
ss
M xed
P
R
O
F SOIL MORPHOLOOY
1
1940
OTHER
.
.1941
L 1.a~apr Horizon
PROFILE FACTORS
E Posidon/ Depth .1941 .1941
M Slope % 00 Si W
W
.1942
e
1043 .1
W
Coftwdwce
Texhaw Minrralo
Wa4n
o
Color
pre
sod
Cl
Othar Factors i 946x
Site Classification (.1948x S- .
othm present
.1944 Proft
Raw Clow
Floris A LTAn
S.GI
r 14