IPAC RHTE# QX -:5-- Zl5/
Harnett County Department of Public Health 25122
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-,~2Z /H// ~3d1~ Z,4*~Xr
ISSUED TO• S' 4n A-kA, /1Z~),~ ~j/ iZS SUBDIVISION ~s' c0 LOT #
NEW ~REPAIR El EXPANSION F-1 Site Impr ements required prior to Construction Authorization Issuance:
Type of Structure: 5 t~-'
Proposed Wastewater System Type: ZS r'/~zZ,n~ J S_.
Projected Daily Flow: GPD -
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for 9 Five years
❑ No expiration
Authorized State Age Date: Z - f/ -0 ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 a 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 taws 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 T0: !c 21,45 211l 4~ PROPERTY LOCATION:
SUBDIVISION G LOT
Facility Type: F' YNew Expansion ❑ epair
Basement? El Yes No Basement Fixtures? El Yes L+1 No
Type of Wastewater System' ° 1Z/_=tb (Initial) Wastewater Flow: 3 LO GPD
(See note below, if applicable
ZS% t~ t1C t~7,6~ 4k- (Repair)
Installation Requirements/Conditions Number of trene es
Septic Tank Size J DD b gallons Exact length of each trench gD 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: /,ff `r!'w","'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
Aggregate Depth: Z inches above pipe
Conditions: -5 UL3 P I u M 3 r-&~~ D t~ T aV ,t am/- inches total
arr`c t-f AR-p +S
**If applicable: /understand the ryftem type specified is different from the type ,rpecifed on the application. /accept the rpecificationr of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjea to rerocatoo if the site plan, plat or the intended use changes. The Construction Authorization shall nnr hp tran4prrod when thorn i< o rh- , w a c Tw:.
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Age ~Larl~ Date: Z
Construction Authorization Expiration Date: 1- / /-r!S g
HTE# D - Z15-11/7 _ Permit # Z512 Z.
Harnett County Department of Public Health
+ite Sketch
PROPERTY LOCATON _ 57, 8 Rd D 604~,,~~,uS Y?-b
ISSUED T0: rs,i4 ,~~`0 = i31Dx~ SUBDIVISION C.4ilitr,. l ,a,-0ujqj LOT # _
Authorized State Age Date: Z - - 0 5
14-5-
C)
F
WD
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Property ID:
Lot
File
Code:
Applicant: 0'/-5-7 7
Date Evaluated>l 2 " d T
SIC Design Flow (.1949): _362, Property Size:
Property Recorded:
[blic (J Individual [ J Well [ J Spring [ J Other
( J Auger Boring [ J Pit [ J Cut
H'Sewage [ J Industrial Process [ J Mixed
P
R
O'
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
{
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
Horiz
Proflle;fr
Class ,
d, I.TAR
t
L AP
0--7
SL-
Jrwp
7- 'Z
Z
L 3"id
° `7
5iL
-7- n
SC,
o
5L,
3
L
7 3,7
sc
" i •
5
~
¢ t
5 L
6L ,c~ sus P
Description
Initial System
Repay System
Available Space (.1945)
✓
System Type(s)
LS~w
Z$~Iq,
Site LTAR
Z5~
Ly
Other Factors (.1946):
Site Classification (.1948): {~'S
Evaluated By:
Others Present: