IPAC RHTE# f~$-S00 -11157/~ Harnett County Department of Public Health 2 5 5 0 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11 z-J-
ISSUED TO: /<,-On c ft' CInMMI AW S SUBDIVISION 4/l .94(-rA. cC. LOT # l K~
NEWS REPAIR ❑ EXPACNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
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Type of Structure: SrD, S6 X S- - '-S Ott
Proposed Wastewater System Type: Z f / /t*d kr-.
Projected Daily Flow: G PD
Number of bedrooms: tG (h4Yt Number of Occupants: max
Basement ❑Yes :5~o
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance fro} well 01) feet Permit valid for:
Permit conditions: ~cj 0/i S r ~ A,- G,v, 1,4.A110- "T ln,a4 4 Al R//.it ~Qf1~IGS
hk 110 L-i t D Q D"nc(
en `1oMc riS
cr- t.iAe,< c
'R Five years
❑ No expiration
Authorized State Agent:: f-J Date: D U 23 _ J 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Hea 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, .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 TO: Y n< rh C.Al'-,wy S PROPERTY LOCATION: 2
SUBDIVISION , l4' it LOT # / XJ
Facility Type: SFQ - -IS 6XJ 6 A-4)" 21 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 14-No Base fixtures? 11 Yes f~1J~~o
Type of Wastewater System** ~JIr~ r men ~W-~,Ao~ ~ r 4i7~ (Initial) Wastewater Flow: 3 6> GPD
(See note below, if applicable a)
(PJ 4 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 0DJ gallons Exact length of each trench 33 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 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 application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
n u Lou-ouuron nummuauun a suuteu to revocaton n me site plan, pa4 or the mtenaea use changes. ine lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comph 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: O.A~ Date: P & I
Construction Authorization Expiration Date: 0 4-a
HTE# 57 2 Permit #
Harnett County Depailment of 11~tblic Health
Site ketch.
PROPERTY LOCATON: I I
ISSUED TO: Y C n R c C,n C- SUBDIVISION W~~ S c LOT # / J
Authorized State Agent: ui Date: ;)3-3
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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: L-) V' S09 (l Applicant:
Address:
Proposed Facility: (n Design Flow (.1949): -
Location of Site: i ( l7
Water Supply: IZ-Public Individual (j Well
Evaluation Method: [,,Auger Boring (J Pit
Type of Wastewater. [~ewage [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
Spring Other
[ ] Cut
[ J Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
I
L
E
#
1940
Landscape
Position/
Slope%
Horizon
Depth
(K))
1941.
Structure/
Texture
.1941
Consistence
Mineralogy
1942.
Soil . -
Wetness/.`
Color
1943.
Soil ;
Depth (IN.)
-~'.1956
Saps'
Class
.1944'
- Restr`
Horiz'.
Profile
Class_
& LTAR
V
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Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Z~
Z
Site LTAR
"l
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
n V
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Others Present:
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