IPACHTE# O~-5L~)-015 6-12 Harnett County Department of Public Health 2 5 2 4 6
Improvement Permit
A building permit cannot be issued with only aq Improvement Permit
I PROPERTY LOCAJIO~N:
ISSUED TO: ~;IfAc i<We`( I`TL' nC S SUBDIVISION Wtk~ ~5 r k C- LOT # .22Z„
NEW ;S REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S f c) - 2) x^t o - i3 2
Proposed Wastewater System Type: - 2rkuCN1'~' . S S
Projected Daily Flow: 149o GPD
Number of bedrooms: Number of Occupants: g max
Basement ❑Yes '9 No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well low feet Permit valid for DKFive years
Permit conditions:. -,Oi CL~ p C A- 1~3 r mow, A k, 1'9 ~'A M At ✓ 4 t) s Y, e A -'w-4 a Ac k ❑ No expiration
Authorized State Agent:: -!~V)- Date: 02-1-7- 0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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, .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 T0: JI ACVU'f k~ PROPERTY LOCATION: 21
SUBDIVISION (J0.~~S/~~2~ LOT # Z2-2-
facility Type: SC70 - 63 x-70 - `f 842- "Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes R_No Basement Fixtures? ❑ Yes L~' No
Type of Wastewater System' (2ecl ,-c SA ,J-e~ (Initial) Wastewater Flow: YffD GPD
(See note below, if applicable
t ) I 6-J-J,,, stis- - (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 00 e gallons Exact length of each trench P 'f feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 18 -1 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 soecifed is different from the type specified on the app/ication. / accept the roecillcationr of this permit.
Owner/Legal Representative Signature: Date:
tms lonstrucnon Autnonzauon is subject to revocation it 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. This
Construction Authorization is subject to compliance 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: W Date: uon, 1i 7-3 ~
Construction Authorization Expiration DatQc?-f 7 t9o l
HTE# n2-5-00-,;IS6, 2-
narnett County
Permit # o?5-?YG
Depailment of hiblic Health
Site Sketch
PROPERTY LOCATON: (12S
ISSUED TO: 2164Lot 1YOMC5 SUBDIVISION (/02alSA,gc LOT # ~z
Authorized State Agent: 1 Date: D 2 -17 -,D
Sa tIz~
{~`I c>11,11~- ~°r
M,A,44,K III -c,t9 5
SW-,G CJ
,SSWkL-5 04
g Qom J I~~CI
OR k i K- - cJ ire rz 's
~ wn
~g~
Uepanrl'Crl,ui clIV11VI1111C1i1, fltlallfl, anu 11-101
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: 5-(0 -2Applicant:
Date Evaluated:
Address:
Proposed Facility: P" Design Flow (.1949): ~J Property Size:
Location of Site: t 12)~" Property Recorded:
Water Supply: ublic (j Individual [ J Well [ ] Spring
Evaluation Method: L# ger Boring [ J Pit [ J Cut
Type of Wastewater: ild-olawage [ j Industrial Process Mixed
[ J Other
P
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
~1
° f
1
L
E
#
.-,.1940.,
Landscape
Position/..
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetnesst
Color
.1943
Soil
Depth (IN.)
.1956
Saprcr
Class
.1944
Restr
Horiz
Profiler:
'k
Class
A LTAfi'
t~3Y
6"'_ d L
vlv'L J
S
Can L
V /z-- S'
ox (
tf~/L 2
1
(1
J
Soo J 6'L
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
f1~
2f
Site LTAR
Other Factors (.1946):
Site Classification (.1948): nal
Evaluated By:
Others Present: 7