IPACHTE#og-S Z& Harnett County Department of Public Health 2 51 2 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:#! Z14
ISSUED T(k &Z W yL SUBDIVISION LOT #
NEW 0 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: FA
Proposed Wastewater System Type: afCEtly sl,~~
Projected Daily Flow: 1,00 GPD
Number of bedrooms: Number of Occupants: _ max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Zmaa e required based on final location and elevations of facilities ~
Type of Water Supply: El Community lT Public E] Well Distance from well feet Permit valid for 2 Five years
Permit conditions: ~Ua' Ta /rt ~fLi d~T~ lSTpZvs El No expiration
Authorized State Age `1 Date: /L -Q 9 SEE ATTACHED SITE SKETCH
The issuance of this permit b e Health 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 TO: W6r PROPERTY LOCATION: Aw Z/d
SUBDIVISION LOT #
Facility Type: .5F& ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement fixtures? ❑ Yes ❑ No L4
Type of Wastewater System" ~iX 46i-7,9)J- Af.~0 (Initial) Wastewater Flow: fGBo GPD
(See note below, if applicable ) a
-w Z5`/,,R 1Y7Z 9 Repair
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /Z06 gallons Exact length of each trench tZ~' feet Trench Spacing: Feet on Center
Pump Tank Size / 7 d o gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of 7l " inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: Z inches above pips
Conditions: C oYts971711[ h? 1~1 i7iL.:~.. / z inches total
**If applicable: /understand the system type specifed /s different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if 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
lonstruction 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 nt: ~ Date: 3-/Z-D 7
Z~J Construction Authorization Expiration Date:
HTE# 09 -S'- ZA- 3 11 Permit # 2 S /2 8
narnett County Department of nimic neaw,
Site Sketch
-7,~~ PROPERTY LOCATON:i Z/,-),J
ISSUED T0: Lrldo-, /-7L~,¢rrrA.✓,er SUBDIVISION LOT #
Authorized State Agent ~v ,~z~ Date: Z1Z'05
c. 4-6
j~~1-7-~
7~s~l
.3 " %N .~~~co v~~ s
z
2 pp~~
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Zjb,5~
Address: p Date Evaluated:
Proposed Facility: 0 sow" - Design Flow (.1949): off" Property Size:
Location of Site: Property Recorded:
Water Supply: [ blic [ J Individual [ ] Well [ J Spring [ J Other
Evaluation Method: [ ,J ger Boring [ J Pit
[ ]Cut
Type of Wastewater: [ Sewage [ ] Industrial Process [ ] Mixed
P
R
O
F
9
SOIL
MORPHOLOGY
.1941 -
PROFI
OTHER
LE FACT
ORS
_
I
L
E
#
:1
40
Landscape
Position/
Slope%
Horizon
Depth
IN.)
1941
Structure[
Texture
e r
- -
1941
Consistence
Mineralogy
[
.1942
Soil
Wetness/ - ; `
Color v,
= 1943
'Soil
Depth (IN.)
1956
SaPrat -
Class±`
s 1944;
r Restc '
(loriz--
Profile,
Class
&41AR;
14f
3%b
0 3J
sE- L'
r
1, `
7
9h
~~L
sG
~
j0
-
SL ~r
A- 5~
Xc
IJ
G
0,10
3L
Description
Initial System
Repair ystem
Available Space (.1945)
System Type(s)
ZS°.v
Zs~,
Site LTAR
• 31T
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: C .R
Others Present
7f T