IPACHTE# 0 Q - 'S7- z/ 70o Harnett County Department of Public Health 25132
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATIONSA2a()
ISSUED SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Al"W t3VX-/P- W( c5w)
Proposed Wastewater System Ty e: 7Y 2~by 1'u1>~
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: i max
Basement ❑Yes ZNo
Pump Required: ❑Yes ❑ No E *P'blic e required bb d on final location and elevations of facilities ~
Type of Water Supply: ❑ Community (Q Well Distance from well /00 feet Permit valid for. 1Z Five years
Permit conditions:
❑ No expiration
Authorized State Agen Date: 3 - Z T -d q 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 a 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: -~eSS<--' 46X7J
PROPERTY LOCATION: _5-/Z 7.p/D ~3e~v TT-'i
SUBDIVISION LOT #
Facility Type: ( ?ff~~,rJ(~ C~W?) LV' New ❑ Expansion ❑ Repair
Basement? ❑ Yes Eg' No Basement Fixtures? ❑ Yes C;No
Type of Wastewater System" 2S%(Zsc-~) ucaC--~ (17CCf_ ) ) -S (Initial) Wastewater Flow: 5-Z~ GPD
(See note below, if applicable
ZS~/h AZ6b o CfUA-J / A--C~7-rF7)) (Repair)
Installation Requirements/Conditions Number of trenches -Z
Septic Tank Size 1060 gallons Exact length of each trench t y feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z(1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
Z inches above pipe
~/L inches total
**If applicable: l understand the system type specified is different from the type specified on the application. / 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
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 Age Date: Z3 - 6J
Construction Authorization Expiration Date: 3 - 73 -/,-f
HTE# 0 - S _ z) -7 co Permit # S / 3
Harnett County Department of Public Health
Site Sketch
ISSUED T0: PROPERTY
SUBDIVISION N_~ Z610 L~~,✓.veh"
LOT #
Authorized State Agen'4 ",Z-3
D Date: 3-Z3-1S %
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Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
JI ICet.
Property ID:
Lot
File
Code:
Applicant: Z t 60
1c,
Date Evaluated: J_ d
7
Design Flow (.1949): Property Size:
Property Recorded:
blic Individual ( Well ~1SU~ [ j Spring [ j Other
[ er Boring [ J Pit [ J Cut
[ ;Sewage [ J Industrial Process Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
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
Sapra
Class
..1944
Restr
Horiz
Profile
Class
& LIAR
L p~
d -ro
SL_
- 45~'2 SNP
j
,
s'6- C
0-9
5L
8
o - C/
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v -5
r3S
L Z
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L
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Description
Initial Systeni,
Repair S em
Available Space (.1945)
System Type(s)
V6
14V-
Site LTAR
- 3
Other Factors (.1946): Q
Site Classification (.1948):
Evaluated By:
Others Present: