IPAC RRHTE#OS- - z, 7vo,Z,Z Harnett County Department of Public Health 25134
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 51e / 3 L/
ISSUED i0 ~ Z> %Lio~i,a S SUBDIVISION -T. W. 16041-- S LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 7) Ll r
Proposed Wastewater System Type:
Projected Daily Flow: `/Bo GPD
Number of bedrooms: ZNumber of Occupants: y max
Basement ❑Yes No /
Pump Required: ❑Yes No ❑ MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public ❑ Well Distance from well feet Permit valid for. ZF years
Permit conditions: ❑ No expiration
Authorized State Agent Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b e lfealth 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: •EM-L,_ A 7hoeii , S PROPERTY LOCATION: 6 r /
Z SUBDIVISION - f /r•, s LOT #
facility Type: r9yL~ 4!1 New ❑ Expansion -El Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes ❑ No zyoX
Type of Wastewater System- Z5-%6ue-j?_4Z= ,r~,_ fiBc~ P~ GY,O (Initial) Wastewater Flow: `/8d GPD
(See note below, if applicable
Z; 1016-1 llc~ ~C~e~a (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size / ZOD gallons Exact length of each trench 90 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. 10 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
Conditions:
Aggregate Depth: Z inches above pipe
inches total
**If applicable: /understand the system type specified is diNerent from the type specified on the application. / accept the specircations 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 Cnnstrurtinn Anrhnrmtin. AA - do --f-A -h - .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 Age G /Z Date: 3-2-zr.,'-05
Construction Authorization Expiration Date: 3- Z,(.-/ I/
HTE# 09 S - Z t -7 j o /4Z Permit # al{/ ~V
Harnett (county Department of I'ilblic Health
Site Sketch
PROPERTY LOCATON:SZ / r43 llZi)
ISSUED TO: 4G Z SUBDIVISION h', 1>n /rues LOT #
Authorized State Agent 2 7` r-7- 'p- Date: 3 -2 ( `0
-'s i2 ) s4, 3 13rif Ate , ?D
uepartmem ul CIIVIIumium, nudlUl, dllU IVdlUldl r-,uJUU1l:uJ
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 ICUI.
Property ID:
Lot
File
Code:
Applicant: Z! 71 0 t
~-W r Pt ~J Date Evaluated: 3-~~,os _Z y_ Z~
tweE> Design Flow (.1949): / Property Size:
Property Recorded:
(/]Public [ ] Individual [ J Well [ ] Spring [ J Other
[Auger Boring [ ] Pit (j Cut
Vf Sewage [ J Industrial Process Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
f
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
/
L -7
O- Z D
54
~'!C 6-'f_'0 5ry
i
K
scL
~x.>- l KJ P.
7 Sr-
~r
~
C
Description
Initial System
Repair ystem
Available Space (.1945)
System Type(s)
`l
Site LTAR
y8
`l5 3
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
lll~--~
Others Present: