IPACHTE#-LW-5-139 S Harnett County Department of Public Health 2 5 2 3 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Z
ISSUED TO: C1s k~ SUBDIVISION J~) Rip S 7 D(I {-C S LOT
NEW REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: CD - 39 x`F-T
Proposed Wastewater System Type: . Q! -'L- Qrd~~ ~t SAS ri•
Projected Daily Flow: 3 G J GPD /
Number of bedrooms: 3 Number of Occupants: lr~ max
Basement ❑Yes O No
Pump Required: ❑Yes ❑ No )K-May be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community '54 Pu lic El Well Distance from well An o feet Permit valid for. IF-Five years
Permit conditions: t ,.v a A K/ I'
t ❑ No expiration
rn o!4fq' ou„~ -vn/-hr'ohCr- ~.►h~. ~1,,,,
Authorized State Agent: SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 th site plan, pla( 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, AM, .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 LOCATION: I Z~
SUBDIVISION ro,<r1 j Oq k5 -LOT # N K
X
Facility Type: 'Flf) 3 (3 2 7"w ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes (tom
Type of Wastewater System** r; (Initial) Wastewater Flow: 3li _ GPD
(See note below, if applicable /J `J
r~ ! t('~c ~t 1i _61A (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size -+C~si- gallons Exact length of each trench _(9 3,-_3_ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: " I K_- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type Specified on the application. l accept the specifications of this permit,
Owner/Legal Representative Signature: Date:
~~w~„«~ -J- r- 1-1-tiu a u¢ vrn plait, prat, or me msenoeu use oranges. ine tonscrucnon numorizahon shau not be transterred when there is a change in ownership of the site. This
Construction Authorization is subject to co iance 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: Date: v
Construction Authorization Expiration Date: O
HTE# 69'-D0--Q1,37 Permit # C25-d 3,
Harnett County Deparbnent of Public Health
S)ite lk ketch
PROPERTY LOCATON: / 2 J-
ISSUED TO: Q SUBDIVISION CJ T 0/1 I ~S LOT # / X
Authorized State Agent: Date:
1
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ueparullenl UI CIIVitul If 11Z, it, I MORI I, ante Ilaw, a, -
Division of Environmental Health
Property ID:
On-site Wastewater Section
Lot
File
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: C) K' y J "
Applicant:
Address:
Date Evaluated:
~1
Proposed Facility: -ir Design Flow(. 1949):
36 J
Property Size:
Location of Site: l 17-r
Property Recorded:
Water Supply: _LjPublic ( ) Individual
[ ]Well
Spring [ ] Other
Evaluation Method: uger Boring
[ ) Pit
Cut
Type of Wastewater: .4dSewage
[ ) Industrial
Process
Mixed
P
R
o
F
-SOIL MORPHOLOGY
1941
OTHER
PROFIL5 FACTORS ;
1
L
E
1940
Landscape
Position/
Slope%n
Horizon
Depth
(IN.)
1941
Structure/
Texture
.1941
Consistence
Mirteratogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (tN.}
1956
Sapro
Glass
1944
Restr
Horiz
Pfo61e
Class:-: ,
& l TAR
{
C_
C-
t /
1.✓ L
Z
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
,Site LTAR
<
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: Q_
Others Present: