IPAC RHTE# S9 J -,;A351 a Harnett County Department of Public Health 2 5 2 5 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: CAA- PROPERTY LOCATION: (k 2I"
SUBDIVISION FKc )T o A S LOT
NEV~-,Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~E.I) - X 3 ? - SO(,-
Proposed Wastewater System Type: ZS~ A -ca yS
Projected Daily Flow: O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes `9 No
Pump Required: ❑Yes *50o May be required based on final location and elevations of facilities
Type of Water Supply: ❑ ommunity 54Pu lic ❑ Well Distance from well J feet 1 Permit valid for five years
Permit conditions: L01` nn J, ~ _ tr, 11 ❑ No expiration
c.1Q/y~ ~tVt✓Jko I C S a-11- v r( evc 'Y- `'1 t1k-,p R C"
Authorized State Agent.: , r Date: 0 2 - 2j--:- c7 SEE ATTACHED SITE SKETCH
The issuance of this permit by th lealth 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, .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 f
ISSUED TO: ~ Q t'f CoA)+ PROPERTY LOCATION: J/ 21-
_ SUBDIVISION F6e-07 00ki LOT # /12
Facility Type: SE - s Dy 3S - 313L CZ-_New ❑ Expansion ❑ Repair
Basement? ❑ Yes pQ No Basement Fixtures? ❑ Yes 1j o
Type of Wastewater System** 2S°/.. (Ze cl,_- c 3 S ~t f (Initial) Wastewater Flow: GPD
(See note below, if applicable tO)
2J_'/- 1 k!d Jt - Sn, z JCt` (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I CxQs~_ gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: `~7' Feet on Center
Soil Cover: 6 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 app/ication. / accept the specibcatim of this permit.
Owner/Legal Representative Signature: Date:
~uu w6t--1 nu umniaumi a -J", w "mw Ll Vll II We site plan, pear, or me mrenaeo use changes. ine 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 Agent:( ./,v ( ~L~J Date: V-P' o)'f' D 7
Construction Authorization Expiration Date: o2- , sue- d0i
HTE# os~ S30a\337 R Permit #
Harnett County Department of M blic Health
Site Sketch
`~5
t t PROPERTY LOCATON: / Ia5-
ISSUED TO: SUBDIVISION btzc ( dkS LOT #
Authorized State Agent: S Date: 02. 2-5---
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
rf~or ON-SITE WASTEWATER SYSTEM
Owner: `11--vi J " a Applicant:
Address:
Proposed Facility: S(7/) Design Flow (.1949):
Location of Site: j f z )
Water Supply: i~ublic [ J Individual [ ] Well
Evaluation Method: uger Boring [ ] Pit
Type of Wastewater: 4 .]sewage [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
( ] Cut
[ ] Mixed
[ I Other
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
i
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapra
Class
,1944
Restr
Horiz
-
Ptofile
Class: ,
& 4TAR
030
°
7711
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
.1
Site LTAR
Other Factors (.1946): 1
Site Classification (.1948): /
Evaluated By:
Others Present: