IPAC RHTE# TYJ~ )-1TY6y (7- Harnett County Department of Public Health 2 5 3 7 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION; /M!Scn (Z4
ISSUED T0: Q S SUBDIVISION P3 LOT # 1 -7 t~
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~~ x to _ 33(L
Proposed Wastewater System Type: aS ~C
Projected Daily flow: 3 4 GPD
Number of bedrooms: _ 3 Number of Occupants: max
Basement ❑Yes r~Z No
Pump Required: ❑Yes ❑ No 'I4-.May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ P blic ❑ Well Distance from well ( O feet
Permit conditions: Mtc ~ t-,A t , , r ~7, - - ( LA - , .L- fl-%6, n -L
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Permit valid for. K Five years
l Sc f 3.4-( kf ❑ No expiration
i,.' E.3" , ._t
e
Authorized State Agent:: _ 0 Date: ~ -3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the H tlan, h 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 si 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 .19S9 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: ~/girl C- PROPERTY LOCATION: ~ elx #4 -C(
SUBDIVISION /I' J r LOT #
Facility Type: ~~X (erJ G/- Mew ❑ Expansion ❑ Repair
Basement? ❑ Yes 17L No Basement Fixtures? ❑ Yes , jo
Type of Wastewater System** J n 7 4T- (Initial) Wastewater flow: 3 GIRD
(See note below, if applicable
c~ I eV (Repair)
Installation Re uirements/Conditions Number of trenches
Septic Tank Size Jgallons Exact length of each trench ~J feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of. --I 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: l 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 Authorizatinn chill not he trancforrod whin rh- k , rh- nm -hm M A. dro Th{.
Construction Authorization is subject to complia 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:' Y-
_U -AA
Construction Authorization Expiration Date: 0 S i tf- as 1
HTE# D'6 ` _Q0 ` 19 9 ~ V 2- Permit # c~5-3 -7 3
Harnett County I)epa linent of Miblic Health
Site 'Sketch
PROPERTY LOCATON: ^ (2d,
ISSUED T0: S F C ~`r ~~l SUBDIVISION A If LOT # i-rr
Authorized State Agent Date: 0 y"
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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: Applicant:
Address: /
Proposed Facility: ~ Design Flow (.1949): -3
Location of Site: -j
Water Supply: [,}Public [ ] Individual [ ] Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater. Sewage [ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ ] Spring
[ ] Cut
[ ] Mixed
[ I Other
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
'
i
L
E
#
1940
Landscape
Position/
Slope%
Horizon
Depth
(K)
1941
Structure/
Texture
1941 .
Consistence
Mineralogy
A 942
Soli
Wetness/'
Color
1943.
> Soil'
Depth (IN.)
„8titi
Saprax'
Class
" 19"
Rests
= Horiz -
Profiiay
Class..°;
& LTAR
- C.
'
V AI,
d `
V
Description
Initial System
R air System
Available Space (.1945)
System Type(s)
/
Yl
Site LTAR
~
t L
Other Factors (.1946):
Site Classification (.1948): t/
Evaluated By:q u./
Others Present: