IPACHTE# i0~~ = 945°e).-- Harnett County Department of Public Health 26172
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ XJ.
ISSUED TO- /Tc -I W ! r SUBDIVISION LOT #
NEW PAIR ❑ < EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: vJ s`k
Proposed Wastewater System Type: 5- e J .c -4".,
1
Projected Daily Flow: fk->G GPD
Number of bedrooms: - 5 Number of Occupants: C max
Basement ❑Yes 21 or-
Pump Required: ❑Yes ❑ No Q" Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 4~ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: (fi, Date: /Zc tQ SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Dep rtment 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 Q ( D
ISSUED TO: PROPERTY LOCATION: fJ ~•ti t tlc~, C e I/~oP.
SUBDIVISION ; Sc~ ►w.~~- 6~.~I LOT #
Facility Type: LJ fit' New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? Yes ❑ No f
Type of Wastewater System** ~ r3`ty -y" Ttr fttr~ (Initial) Wastewater flow: -3 d GPD
(See note below, if applicable Z..
Installation Requirements/Conditions
Septic Tank Size / gallons
Pump Tank Size / 0 d Q gallons
Pump Requirements: ft. TDH vs. _
. T Oe' 7'f (Repair)
Number of trenches 3
Exact length of each trench 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. /6-- ;Lq inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
ACC nd~4ons o 4-~- ply r c:-.-s,- f c E^: c~
t CO..rLACT C+..~.c•d~ ~ ~tt'~.~`~~ !t'l(~e.ti~'~r~'' "S .~„rt~ tOG +llr:~C~.
Trench Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
( / l -1 5 V H '-'r, inches total
LJ SL G a~
If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifiwiofls 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 Agen Date: ~C A- `f C
Construction Authorization Expiration Date: ,2'1C
HTE# ~~'S=r ~re,Z Permit # aZl,k-?,~-
Harnett (bounty Department of IN blic Health
Site Sketch
//v PROPERTY LOCATON:c~.td
ISSUED TO: /~c SUBDIVISION ~s X A//f LOT #
Authorized State Agent: Date: 7
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Department of Environment, Health and Natural Resources Sheet:
Division of Emrironmental Health Property ID:
On-Site Wastewater Section Lot
File
SOMSITZ EVALUATION Code:
for ON-SITE WASTEWATZR SYSTEM
Owner Applicant:
Addresr: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water supply '[f 91Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evalua#iou Method: Auger Boring ❑ Pit Cut
Type of Wastewater: Sewage ❑ Industrial Process u Mixed
P
R
O
F
1
1940
OR. MORPHOLOGY
.1941
THER
PROFU FACTOR
L
9
i•
L xbftp
Posidow
Slgm %
Haizoe
Depth
(ta)
.1941
SMvedwl
Teaaun
.1941
Coroikem
M to
.1941
soil
webmw
Color
.1943
Soil
IN.
.1956
Sapro
Clan
.1944
Rew
Hobs.
Froth.
Ow
RL?AR
6- /Z
1
3
L ' 1 1-1
kAvsifn r .w uu~w Kew ~etoel Mar actor' (.1946X
la s . 194! s eans site Cl1"Madon (.1948x
a Evalutted By: ~~t ~t~
Others Prexnt: 1A r ~ d