IPAC RRHTE#Q9 60D- oj- Harnett County Department of Public Health 25519
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
i lT~111 ` PROPERTY LOCATION:
ISSUED TO:V~~ r~ ~3-1(\J"j SUBDIVISION c L0T #
NEW REPAIR ❑ EXPANSION ❑ Sf a Impro ements required prior to Construction Authorization Issuance:
Type of Structure: - J ~L f lSC- 'Idc 7AA4 f 1a4- 4 !?o~,er L~hcs
Proposed Wastewater System Type: @S I. GA t
Projected Daily flow: i-r) G P D \J ,~1ua~ djc /0' 5 A,n
Number of bedrooms: S_ Number of Occupants: max
Basement ❑Yes ' No DS- ~cpt4, rc A (tc A
Pump Required: ❑Yes ❑ No )<May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community % Public ❑ Well Distance from well 0 feet Permit valid for .r~l' Five years
Permit conditions: l_ 'ife 5Ar f crxk( cti } frR f 0k Scl 9.tr/cs ❑ No expiration
0,-ru a A -ij- A. L. <-L.,, . , n i_ - _ i ! ! e
Authorized State Agent.: S Date: 0 31 -J, r) O 13 SEE ATTACHED SITE SKETC
The issuance of this permit by the Heal 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, AST .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: W4pn C n t PROPERTY LOCATION: C d-7
V SUBDIVISION ! , n LOT #
Facility Type: St i T - .S'a? L SS? 3Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes '4 No Basement Fixtures? El Yes C~TNo
Type of Wastewater System** c,95 J, (01" ~ 6~,~. Sry (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
Conditions:
140e, t'3- (Repair)
Number of trenches
Exact length of each trench a3Z) feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. . I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: l understand the system ty pe specified is different from the type specified on the application. / accept the specifications of this permit
Owner/legal Representative Signature: Date:
This Construction Authonzation 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.
Construction Authorization is subject to com fiance with the provisions of the Laws W/ andRules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 4r R) Date: t0 3-13' J
Construction Authorization Expiration Date: C'~ ~-1
HTE# 1" -5 0 ~1 eQ,0 a a Permit # 5-5 / 7
Harnett (bounty Department of Public Health
Site Sketch
PROPERTY LOCATON: - C rl
ISSUED TO: n _A SUBDIVISION ~r P ~.1~ LOT #
Authorized State Agent: kJ -A7 R S
Date: 3-1 a ,o
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Division of'Environrnental-Health
Property ID:
F
On-site Wastewater Section
Lot
File
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
Owner
M' 11? Y2 1 L
-f 2
A
li
.
-
-
pp
cant:
Address:
Date Evaluated:
Proposed Facility: SFO Design Flow (.1949):
,
Property Size:
Location of Site: Z-rl'
Property Recorded:
Water Supply: 1-1~4ublic [ j Individual
[ j Well
(j Spring [ J Other
Evaluation Method: (J Auger Boring
'Pit
O Cut
Type of Wastewater: ewage
Industrial
Process
[ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FAGTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth`
(IN.)'
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Noriz
Profile
Class
& LTAR
~f
v
e
c
Description Initial System Repair System
Available Space (.1945)
System Type(s)
I Site LTAR
Other Factors (.1946)
Site Classification (.1948): P~
Evaluated By:
Others Present: f