IPAC261175
HTE#lo-,~_ RY? kq Harnett County Department of Public Hearth
Improvement Permit
A building permit cannot be issued with only an I rove lent Permit
PROPERTY LOCATION:
ISSUED TO: 17mot- SUBDIVISION < cs r.r~~ f LOT #
NEW ~2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S-F6. G ~ F7~
Proposed Wastewater System TXqpe: dkS-/'
Projected Daily Flow: (~C~ _ GPD
Number of bedrooms: Number of Occupants: C. max
Basement ❑Yes (moo
Pump Required: ❑Yes ❑ No 1?1 MayVb required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L~' Public ❑ Well Distance from well feet Permit valid for ~e years
Permit conditions: ❑ No expiration
Authorized State Agent:: /1// - _ AL k!"IVI _ Date: 711 SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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, .1957, .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: PROPERTY LOCATIO : - Q 0, 'Cc- A
SUBDIVISION 7k-q- F LOT #
Facility Type: i'_ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? Yes ❑ N
Type of Wastewater System** "2s-~~ (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
r
AJ%J •r-- fyl Xe-- (Repair)
Installation Requirements/Conditions
Number of trenches -7
Septic Tank Size CLo v gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 160:k inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs.
GPM
Trench Spacing: ? Feet on Center
Soil Cover. (v-18 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
J7e.s
**If applicable: / understand the system type specified is different from the type specified on the app&dtion. / accept the specifications of this permit.
Owner/legal Representative Signature: Date:
....,1,.,.1.,,,,, -J- ar r we > e pieu, N,ati or we imenueu use cnanges. fire cons ruction numorizanon snail not be transferred when there is a change in ownership of the site. This
Lonstruction 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 Age Date:
Construction Authorization Expiration Date: 7 / 9 a/ 0 .12
HTE# Permit # d,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: A,- , C-" / o c App
ISSUED T0: SUBDIVISION LOT # 9(
Authorized State Agent:l Date: .2c~c
r
r7 -
[-J-L-7
.
~~t~ k-
Department of EwAmnnmk Health and N-"•vai Resources
Division of ErMronxn=W Health
On-Site Wastewater Section
SOIIJSITE &VALUATION
for ON-SITZ WA3TZWATgR3Y9TL*4
Owner Applic=
Addn=
Proposal Faduty:
Locatioon of sitx
watts Supply:
Evaluative Mew
Type of wastawater:
Date Evaluatet / t~'
DeMp Flow (.1949):
Property Pmrded
Public ❑ Individual ❑ Well
U Auger Boring ❑ Pit ❑
Sewage ❑ Industrial Prmem a ❑
Sh
t.... ty ID:
Lot M:
File M:
Code:
Pmperty Size:
Cl spring Cl omen
cut
mblel
P
R
O
F
SOIL MORPHOLOGY
Ott
1
L
.1940
1941
PROFILa FAt'TOR5
9
M
is Wm ape
Position)
Slope
Horizon
Depth
(la)
.1941 .1941
sbuah" Corwdam
Ted Mianio
.1941
sod
WaltmW
Color
1943
Sail
IN
.1956
3qW*
Clan
.1944
Re*
Hobs.
ft&
Ch
A LTAt
L~
s
jA7vs1f&b1# pdon Repair Sydow Othar Factors 13 Site Cl&&*&adm (.1940X - r
3 +ia .194!
LT,1A , r oth Evaluated Ptemnt; '~r^