IPAC RHTE#D~I-s Harnett County Department of Public Health 25129
Improvement Permit
A building permit cannot be issued with only an Improvement rmit
PROPERTY LOCATION ZOb co ec~ C~✓-r/
ISSUED T0- SUBDIVISION -,Tai,, t,c4 i LOT #
NEW PAIR EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T e: 21-V- tZ r~
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: <o max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No lZ e required ed on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well `76 feet Permit valid for L✓J Five years
Permit conditions: ❑ No expiration
Authorized State Ageaf Date: 3 - t 3 - D 5 SEE ATTACHED SITE SKETCH
The issuance of this permit V14e 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, ASS, .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 TO: PROPERTY LOCATION:SZZIbS
SUBDIVISION l_,a,E LOT #
Facility Type: New [/Expansion ❑ epair
Basement? ❑ Yes No Basement Fjxt res? ❑ Yes No
Type of Wastewater System** 1 (Initial) Wastewater Flow: 34>6 GPD
(See note below, if applicable
r~ ~o l (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l ~t70 gallons Exact length of each trench 9b feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: ` inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to -l-/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 61 inches below pipe
Aggregate Depth: 07 inches above pipe
Conditions: /z inches total
**If applicable: /understand the system type specified is different from the Type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, plat or the intended use chanom The fnnctmrtinn enthnmadon hA not ho t-d ...d wh.. A... i . . . e ; ._k;..r . Tk:.
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 Ag t: Date: 3 - t 3 - 0`5
Construction Authorization Expiration Date: 3- f 3 -11
HTE# D`J-S - Z/ I. SS Permit # Z5/Z
Harnett (county Department of Miblic Health
Site Sketch
PROPERTY LOCATON•
ISSUED TO: - c c L3 ~C SUBDIVISION cc _ LOT #
Authorized State AgeZ~ . Date: 3 - 1 3 -o rj
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Z16, S~
Address: ~~YV4 Date Evaluated: _ /o -09
Proposed Facility: Design Flow (.1949): 3ls C~ Property Size:
Location of Site: Property Recorded:
Water Supply: [ f"Public [ j Individual [ j Well [ ] Spring [ j Other
Evaluation Method: [ Auger Boring [ ] Pit [ ] Cut
Type of Wastewater: [4~ewage [ ] Industrial Process [ ] Mixed
P
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o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
:T
7
1
L `
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#
.19411
Landscape
Position/ .
Slope%
Horizon
Depth
(IN)
1941
Structure/"
Texture
1941 "
Consistence
Mineralogy
1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
1956
Sapra
Class
1944
Restr
Horiz
Profile
Class
& LIAR
L ~
A,
1-
2 r~
'1 Z
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31
7
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3 0
3 S.
Description
Initial System
Repair stem
Available Space (.1945)
V/
V
System Type(s)
'L 41V
Site LTAR
3 5^
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: J
2
Others Present: