IPAC RHTC#i Yi . 5 <,-,-~c 5-H A Harnett County Department of Public Health
ISSUED TO:
25352
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I~ 15-
SUBDIVISION CJ c .S , le -L LOT # 23(
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 CO - 57 C3 '*L
Proposed Wastewater System Type: ;J5 Ae - }t t•}-.
Projected Daily Flow: 3 ( GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes `i if No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ ommunity --Ja Public(' El Well Distance from well /,)3-> feet
Permit conditions: XW-, r0lt Tt 4 Int" F ( k4 - '04. ✓f bi , - 11 //t
v"C( d r
V \ J~ i S L(-3r~ c(
Permit valid for five years
❑ No expiration
Authorized State Agent:: L _ Date: U 2 -tom' -'~O SEE ATTACHED SITE SKETCH
The issuance of this permit by the a th 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: ~(~v nc s I L41414 PROPERTY LOCATION: 112,
~
SUBDIVISION C,I~ lLOT # ,Q0
Facility Type: J 7X 39(7- bE4L New ❑ Expansion ❑ Repair
Basement? ❑ Yes Z No Basement Fixtures? ❑ Yes --~No
Type of Wastewater System" _ (Initial) Wastewater Flow: i~ 3 GPD
(See note below, if applicable)
4 f 21- L5' ' (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ocia gallons Exact length of each trench 1411110~1 ~3feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: '4 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / anderrtand the system type specified it different from the type specified on the application. / accept the rpeci6cations of this permit.
Owner/Legal Representative Signature: Date:
nu 6mDUULLIu11 Nuutonzavon is suoJect co revocaton a the site plan, pia[, or the mtenaea 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 c SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: Qa;~' (9 0 1
HTE# Oq- ~L P k5-1 W Permit # ~ 3 j 2
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON: 12s-
ISSUED TO: SUBDIVISION LOT # ~f
Authorized State Agent: Date: 0-9-c~Za-3 t
W
fy\,~ L
5
A~ ~A, v-\
Lh ~c
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uepartmem of Cnvu VI U IIel It, nedILI 1, CD Iu 140'Ui a1 i wavu v a
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: ~'.7 ? r ~l
Address:
Proposed Facility: Design Flow (.1949):
Location of Site: f Z~~
Water Supply: ublic [ j Individual
Evaluation Method: uger Boring
Type of Wastewater: Sewage
Property ID:
Lot
File
Code:
Applicant:
~ 4..,7
( ]Well
[ j Pit
[ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ j Spring (j Other
[ ]Cut
( I Mixed
P
R'
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slo e%
Horizon
Depth
(IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
..1944,
Restr
Hodz
Profile
Class
& LTAR
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
-
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: 9 1J
Others Present: