IPACH T E # 1 5''� ® -3 3 3
Harnett County Department of Public
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5 eo
ISSUED TO: �\L. -NNN s SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: l \om ��
Proposed Wastewater System Type: 9.S"la QuC-ct 0'V 5,����
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'R No
Pump Required: ❑Yes —"SL No ❑ May be required based on final location and elevations of facilities
Type of Water • ❑ Community '�K Public ❑ Well Distance from well lam® feet Permit valid for: Xive years
Permit conditions: ❑ No expiration
Authorized State Agent:: �� ,1\\� 9-
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
ck-5 Date: `J y' i N'� SEE ATTACHED SITE SKETCH
other permits. The permit holder is 'responsible for checking with appropriate governing bodies in meeting their requirements. This
�t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 TO: N—V"0 - "-1 ")-5
Facility Type: �!��cN°�7'x56 J New
Basement? ❑ Yes No
Type of Wastewater System ** _
(See note below if applicable ❑)
Basement Fixtures? ❑ Yes
2c'5 °/0 �mvc.: )a"
PROPERTY LOCATION: � z v s
SUBDIVISION Pa �'L -,^� LOT #
❑ Expansion ❑ Repair
No
(Initial) Wastewater Flow: �CJ GPD
> PP
oL���ojvC. -front 5�� (Repair)
Installation Requirements /Conditions Number of trenches t
Septic Tank Size Lc> Q yr gallons Exact length of each trench �QO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 13 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover: 4Z, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
* *If applicable: / anderstand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in ownership of the site. This
Construction Authorization is
Authorized State Agent:
compliance Laws and Rules for Sewage Treatment and
Con
R(Nk3
and to the conditions of this permit.
Date: }
Expiration Date: l�
SEE ATTACHED SITE SKETCH
9-c-
e-l- t 6 HOUSE 1
I
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 4i fb60 j Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply: Ao blic❑ Individual El Well
Evaluation Method: Au g F1 Pit ❑ Cut
Type of Wastewat Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
De th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
ti
"
X53
a
(3-10
P5
Description
Initial
S ste
pair System
Other Factors (.1946):
Site Classification (.1948): fO
Evaluated By:
Others Present: 15 M
Available Space(. 1945)
System Type(s)
Site LTAR