IPACHTE# 09 st)J 1,56 3 Harnett County Department of Public Health 25351
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: n C 2 -7
ISSUED TO: ' e-i ~ ils-all SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: 73!7,
Type of Structure: - Q~
Proposed Wastewater System Type: f t2 ft v C C
Projected Daily Flow: 3Z, D GPD
Number of bedrooms: 3 Number of Occupants: max
Basement Oes ❑ No
Pump Required: Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Pu~jic ❑ Well Distance from well f -3 J feet
Permit conditions: M C A- _;'s n 1 r- r, P, l I_A,- k f-" 'n . n
is A 1 /J:aj J I
Permit valid for. Five years
S C QHe ky ❑ No expiration
Authorized State Agent:: c- I Date: DV --10 - 31 SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 ite 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: ar-Mn / PROPERTY LOCATION: ~v 02~
SUBDIVISION - LOT #
Facility Type: S r4) - )~X j J (~(t . New ❑ Expansion ❑ Repair y .7 4--c
Basement? `;4- Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** -t- G4A'1c~ (Initial) Wastewater flow: t~-21 GPD
(See note below, if applicable P f' f (Repair)
Installation Requirements/Conditions Number of trenches j
Septic Tank Size_ gallons Exact length of each trench , feet Trench Spacing:_ Feet on Center
Pump Tank Size / J 0-> gallons Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of- - I !R 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: I- inches total
**If applicable: /understand the rystem type specified is diKereat from the type specified on the application. 1 accept the jpecificatioar o/thi permit.
Owner/Legal Representative Signature: Date:
wotcu tyurauun a me are plan, plat, or me mtenaea use oranges, Inc construmon Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complA 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: Date: O~- '13-- 01
Construction Authorization Expiration Date: Q~ r a.3- a2l~ 1 q
HTE# ! 500-- 3 15 b-1 Permit # 0~ S-,33-/
Harnett Connty Department of 1"liblic Health
Site Sketch
PROPERTY LOCATON: N( a I
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: Date: tea -,O J- 0 I
A~ p~1L
l
/1 I ~{tt~ l j~z)
ifs
I/J
eerl
f(/
l
337
L,r ~ srfnu`~~
Lq I
l
ueparunem of ~nvnunnien~, ncaiul, ,,,u -w...
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Location of Site: Property ID:
Owner: 3~_-3v_
Address:
Proposed Facility: fro Design Flow (.1949): ~ ( o
Lot
File
Code:
Applicant:
Water Supply: Public [ j Individual Well
Evaluation Method: Auger Boring (J Pit
Type of Wastewater: U Sewage Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring [ J Other
[ J Cut
[ J Mixed
P ?
R
p
F
SOIL MORPHOLOGY
.1941
: OTHER
PROFILE FACTOR
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
Profile
Class
& LTAR
S
7(,3
~/n(
✓
2~
f
5 Se t
S ~f
b l-4 -4 1
6a j(
V'At r
g
as
alt 37L
err-~
- ~
co
0)~'
\JAn-
Description
Initial System
Repair System
Available Space (.1945)
✓
System Type(s)
Av'
~
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: L~~~