IPAC RHTE# 08-J& &PS RZ Harnett County Department of Public Health 2 5 3 5 7
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: I, {
ISSUED T4: ~e ( 5 SUBDIVISION LOT #
NEW'-- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: N c~ B (Z-
Proposed Wastewater System Type: _,.VVr-V f~ 2 S Y.
c
Projected Daily Flow: ?~to~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Y s Jo
Pump Required: ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community u lic ❑ Well Distance from well feet Permit valid for. 76--Five years
Permit conditions: M'e- tt) c ~/ack-j ❑ No expiration
Authorized State Agent.: Date: = -p Z _ 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, 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: L /~C( J~~~Y►C S PROPERTY LOCATION: 1
SUBDIVISION J9 Sht LOT #
Facility Type: SE0- 59 x sN - -3 2 'tN New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~"o Basement Fixtures? ❑ Yes o
Type of Wastewater Systerri Z- t ~ (Initial) Wastewater Flow: _ GPD
(See note below, if applicable t. y 2.j_ f
J/+. ~llc,•~ C7'(~~ /Ranairl
Installation Requirements/Conditions Number of trenches I
Septic Tank Size gallons Exact length of each trench 2,3 feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 --inches
Maximum Trench Depth of: ___ff_:y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /under land the system type specified it different from the type specifed on the app/icdvi n. / accept the roec1T1wivnr of this permit
Owner/Legal Representative Signature: Date:
1uu wnsuuLumr numuozauon is suofecr to revocation it the site plan, plat, or toe intended use changes. the Lonstruchon 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 Dermit SEE ATTACHED SITE SKETCH
Date:
Z'
Authorized State Agent: L__
Construction Authorization Expiration Date: c rz
HTE# ~~Sc-S S Permit # gs- 3 S ~
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: / f
ISSUED TO: ~u~~ -tf~rrc~ SUBDIVISION A-~ he SOT #
Authorized State Agent: Date: ~-Z
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: 09 -P > -aDS'Q~S Applicant:
Address: ~^n
Proposed Facility: SF { ! Design Flow (.1949): 7L)
Location of Site:
Water Supply: ublic [ J Individual [ J Well
Evaluation Method: ger Boring [ J Pit
Type of Wastewater: age [ J Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring [ ] Other
[ ] Cut
[ I Mixed
P
R
o
IF
,
SOIL MORPHOLOGY
.1941
_
OTHER
PROFILE FACTORS
t
t
L
E
#
` .1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
1943
Soil
Depth (IN,J
.1956
Sapro
Class
1944
Restr
Hodz
Pfofile
Class;
&4TAR
"
5
1
t
is
1'
r--
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
2)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: