IPAC RHTE# !K" 00 -2t,-n3 (Z Harnett County Department of Public Health 2 5 3 7 d
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
0 PROPERTY LOCATIO : La W ell cc 2A
ISSUED T0: A"\ SUBDIVISION i~~Slc ut~nA n~rr LOT # -2-
NEW" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F~ - x 300-
Proposed Wastewater System Type: (AAr-0 -t 62 '11 c% C h/>n. ~icr
Projected Daily Flow: 3 ~ &Wtx GPD
Number of bedrooms: 3 iwax Number of Occupants: max
Basement ❑Yes -~ZNo
Pump Required- es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V-1~ublic ❑ Well "Distance fr m well (~ti9 feet Permit valid for. ' Five years
Permit conditions fi~C6 q + +ti vIa( b~(t - ,7 14 34(-k El No expiration
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Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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
ISSUED T0:y~c ti PROPERTY LOCATIO :L✓cr► e <
SUBDIVISION Isiz RN LOT # 2_
Facility Type: Sa 1 W ' G New ❑ Expansion ❑ Repair
Basement? ❑ Yes A~J No Basement Fixtures? ❑ Yes 4 o
Type of Wastewater System** _ Lr 'f= a'w d~ Cl gtr` (Initial) Wastewater Flow: 3L GIRD
(See note below, if applicable V)
I't-sit ~ L,nt/t CIta01 1ac.L (Repair)
Installation Requirements/(onditions Number of trenches 5
Septic Tank Size 1),1)0 gallons Exact length of each trench 103 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of: 1d1W,4 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 inches below pipe
Conditions: stun Ct-~ 0/tj
Aggregate Depth:
i(AIVleel-' Alu)'J s0/t+hi I,- e-t' )Z`~
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:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The 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: Q f Vl Date:
Construction Authorization Expiration Date: I)
Y
HTE# flK `Jw --0)09 `7j (Z-- Permit # r7 6
Harnett Connty Department of M blie Health
Site ketch
PROPERTY LOCATON: w~c e t'U
ISSUED T0: h`Z~~ 2 SUBDIVISION ~ LOT #
Authorized State Agent:
Date: 63-1 5-D
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Division of Environmental Health V vvV
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Design Flow (.1949):
Location of Site: E/(
vi lvtm
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public Individual Well
Evaluation Method: _f/] pit
C
Type of Wastewater: ,[(]-Sewage Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
Spring
[ J Cut
[ J Mixed
[ J Other
P
R
o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
' Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
,1941
Consistence
Mineralogy -
1942
` sort r t
Wetness/'
Color .
f 1943 :i
Sap ;i
Depth' IN.)
.1956
SaPro
Class -
194d`
' Restr
x . Horiz ,
Profile~
Gtass:.; w
& IXAR .
2
Lr
2 ~2G
45
L
G f?- j L
V z
Q i j
~ a 41
-L
61. 5 L
L
So /7 L
a
128
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
V
Site (TAR
„z~
i
L S
Other Factors (.1946):
Site Classification (.1948): t
Evaluated By: ~v
Others Present: ) "XI