IPACHTE# 0 9 c. eg Harnett County Department of Public Health 25126
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S/Q N6 3 K=!~ A~cn) s 12
ISSUED TO• G A1Z ► SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S r 6 -iia y, S ►='f l-r
Proposed Wastewater System Type:
Projected Daily Flow: 2116 GPD
Number of bedrooms: L Number of Occupants: max
Basement ❑Yes L'No /
Pump Required: ❑Yes ❑ No EJMre required based on final location and elevations of facilities
Type of Water Supply: ❑ Community t!1 Public ❑ Well Distance from well feet Permit valid for. E? Five years
Permit conditions: ❑ No expiration
Authorized State Agen • Date: & -D ~ 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 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, 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: G
S
PROPERTY LOCATION: StZ 14
0--3, K=n I ~ 2D
SUBDIVISION
/
LOT #
Facility Type: S r ,
New Expansion ❑ Repair
Basement? ❑ Yes No
Basement Fix
tures? ❑ Yes No
Type of Wastewater System"
N4 t-3 i 4,-
!K 7b Exrs fr~~ ~P~ j c 5
bo(nitial) Wastewater Flow: GPD
(See note below, if applicable
Pu
4-c> Z52
b (L49j) 4fitk&,Vk W (Repair)
Installation Requirements/Conditions
Number of trenches F_xcsZ_.~7
Septic Tank Size -J .QC
gallons
Exact length of each trench ~^P feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: k Inches
Maximum Trench Depth of. 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
V~
Aggregate Depth: inches above pipe
Conditions:
/
Z)I
~)X
inches total
Rlfl~ i't
~/~'S.
**If applicable: /understand the system type specified is different from the type specified on the applmulon. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization k subierr to revnratinn it rho city nlan nlat nr thn intand,d nee A- - The r-<..u,.;,,,, A,..ti-4-;,.., k.lf 6 r ...i ~ _ .L_ _t - a:_
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 A t: /11'1/ Date:
Construction Authorization Expiration Date: 3 - 6 /y
HTE# U`1 S ` Z l Co b A Permit # Z'5/ Z ~
Harnett (county Department of Public Health
Site Sketch
PROPERTY LOCATON-s /Z / `/03 Y~ l l:-~ c, (Zj"~
ISSUED TO: -5~4,04/ezJ,-, DIVISION LOT
Authorized State Age c~ Date: 3 -Oc7
r
~L)
J
I
,
ZZ
Z J Z .
/qi)3
ti
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
[ 4Public [ J Individual
( Auger Boring
[ I-SvWage
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well Spring [ J Other
[ J Pit (J Cut
Industrial Process (J Mixed
P
R
O
F
SOIL MORPHOLOGY
194r
OTHER
PROFILE FACTORS
t
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
G •
.5 L
eartZ
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Zt .
ISite LTAR
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
v/&o 1) ,v
Design Flow (.1949):
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: