IPAC RHTE# d9-5-- Z17Z, Harnett County Department of Public Health 25135
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.S.Z/3Z~3
ISSUED T0: SUBDIVISION ffd/tea LOT # „7
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: U/~/fx ~i9rLTi1~c°~ ✓ S)
Proposed Wastewater System Type: Z S%/ZQ,~? (1ljZtTti J
Projected Daily Flow: y,'o (ZZ,~yzGPD
Number of bedrooms: Number of Occupants: y~ y max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No L~-Mavy e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L Public ❑ Well Distance from well feet Permit valid for 2ive years
Permit conditions: ❑ No expiration
Authorized State Age Date: 3- fo O 9 SEE ATTACHED SITE SKETCH
The issuance of this permit b t 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: P1~ J> -7&2, - PROPERTY LOCATION:
Z SUBDIVISION f~ LOT # 3
Facility Type: /-'-/E~~~ 2'-New ❑ansion ❑ Repair
Basement? ❑ Yes L!1 No Basement Fixtures? ❑ Yes EJ4o
Type of Wastewater System" 1s/ a,6 V014-0 (Initial) Wastewater Flow: ~/96'GPD
(See note below, if applicable
lJclo r)
Installation RequirementsConditions Number totrenches
Septic Tank Size /ZDb gallons Exact length of each trench SD feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- Z Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
6a inches below pipe
Z inches above pipe
_ inches total
**If applicable: /understand the system type specified is different from the type specifed on the app/ication. /accept the rpeci6cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authowatinn is mhiert to --tinn if tke dm ~1- „i,: J- ..,.,.,.a,.a .L......, n.
..b... ,„ut t omui 11- Wilt]' Uleir u a change in ownersmp or the site. tms
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and nimmal and to tho rnnditin- of thi, -it (rr ATTArurn (ITC CUM
F_..... - Authorized State Ag Date: .3-Z4, -09
Construction Authorization Expiration Date: 3 -Zd,
HTE# 09- S- Z/ -7 7-_3 -K Permit # 25-135-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1 '5-6 3 /3~l/ ,;Zyve rt, XA
ISSUED TO: -om, G6A f °Z l~ Z24""' ' SUBDIVISION rTf~ LOT # 3
Authorized State Age Date: ~'Z,!~ -69
'J'ro 1301c,
l f,pdv~
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Z17Z3)Z
Address: Date Evaluated: 3'. 9 c3,~3 Z]'-lb =_76
Proposed Facility:' Design Flow (.1949): 8d Property Size:
Location of Site: Property Recorded:
Water Supply: [ j,Public Individual Well [ J Spring [ j Other
Evaluation Method: [Auger Boring Pit (J Cut
Type of Wastewater: J Sewage [ J Industrial Process Mixed
P
R
o
F
-
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L `
E'
#
.1940
Landscape
Position!
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy ,
.1942.
Sat
Wetness/'
Color
.1943
Soil
pepth'(IN.)
.1956
Sapr(Y
Class
.19"
3 Restrr
Horiz
Profile
Class
& LIAR
I
L 744
6 $
SL
~2 G 1t")
Fo_
Z
L Rio
~ "~g
~2- ~5~✓'
5e-
-AL
3
~ ' ~
6 Z
si,
LI
L s•~~
-
5L
SnJ
-b--• /7S
S~
~-n- A)Z ti
Jb -p
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
16"-
Site LTAR
j~
3~
Other Factors (.1946):
Site Classification (.1948):5
Evaluated By:
Others Present: