IPAC RHTE# OS-s,)o- Harnett County Department of Public Health 25247
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: 2
ISSUED T0:
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SUBDIVISION //x flj,f2-r LOT # 22 3
NEW=-
REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: X
0- LQ
X`f J_ - 3
Proposed Wastewater System Type:
Lf row S
ier
Projected Daily Flow:
3L3
GPD
Number of bedrooms:
3
Number of Occupants:
lI max
Basement ❑Yes
1~;rNo
Pump Required: ❑Yes
❑ No
''May be required based
on final location and elevations of facilities
Type of Water Supply:
❑ Community J;?--Public ❑ Well
Distance from well 0-~ feet Permit valid for. 0 Five years
Permit conditions:
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-j M,4"7 A / 3/fr (e ❑ No expiration
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Authorized State Agent:: ~mtpn Date: 02- 1-2-0 SEEATTACHED SITE SKETCH
The issuance of this permit by th Health Department in rantees the issuance of other permits. The permit holder is responsible far checking with appropr ate governing bodies in meeting their requirements. This
site is subject to revocation it a site plan, plat, or the e 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 TO:
2~ (Ac IE Ue E~ t~ •cs PROPERTY LOCATION: 2
SUBDIVISION 412261-(A' rZ c_ LOT # 2 Z
Facility Type: Sco- (0DX'-(,f- 36tz ~Naw ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EW
Type of Wastewater System** 2J-Y J-, -i' .S !~Jlc~ (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable ;
Z'-) /(4J-1(" ~S (Repair)
Installation Requirements/Conditions Number of trenches - I
Septic Tank Size ( c>--> J gallons Exact length of each trench _I (03 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _-A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. 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: / rrndetstand 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:
TI.:. f............:._
> - t«, --u- a pmu, Via,, or Lite unenuea use cnanges. IM! connrucuon Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstrucnon 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: 3 Date: O
Construction Authorization Expiration Date: O 2 - (`7-&1
HTE# Permit # ~So7y~
Harnett Clonntyr Department of F' blic Health
" i to ketch
PROPERTY LOCATON: I I Z c
ISSUED TO: c t 1 SUBDIVISION l4Dj~ Z LOT # Ij 3
Authorized State Agent: Date: O 2 - h D
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File aY
SOILSITE EVALUATION Code:
for Or-SITE WASTEWATER SYSTEM
Owner: ( , 3 !2 Applkwt
Address:
Proposed Faality: Design Flow (.1949r )
Location of Site: I 't J
Water Supper. j.Pubk individuai Weft
Evaeuabon kteuw& J<Auyer BorirV ( )Pit
Type of Wastewater.ewege industrial Process
P
R
O
F
( I Other
Date Evaluated:
Property Size:
Property Recorded:
( ISM"
( ]Cut
( 1 Mixed
SOIL MORPHOL0C3Y OTHER
• 1941 PROFILE FACTORS
1 .1940 .1941
L lutdecme, Haf= .1941 .1941 San 1941 i .1ff+4~
t PmftW D"A ftuc urdt ComlN~rc Weftileeel . Soo
i 3
1110138% I MI Tab" Collor Saps. Reek 0M
M.) Clem
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D G J f„
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Description Inlda) S stem Repair System
,vailabte Space .1948
stem T e(s)
Ito LTAR L
Other Factors (.1948):
Site Classification (.1048): nP~
Evaluated 8y: 7
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