IPACHTE# Harnett County Department of Public Health 2 5 2 6 0
Improvement Permit
A building permit cannot be issued with only an Improvement Perm'
PROPERTY LOCATIO : IT VJ / a ~ c. Id .
ISSUED TO: SUBDIVISION f+,,l LOT # 1 g Q
NEW REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: al~ d Yo j (,G I
Proposed Wastewater System Type: 22S-X 2,r-t ,,L
Projected Daily flow: _ 2(o Q~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 140
Pump Required: ❑Yes ❑ No I" Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. R--Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: 1 a k J. Date: Y/9/26C~ SEE ATTACHED SITE SKETCH
The issuance of this permit by alth 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: ~)A atu-c1~ dc,; [c ep f PROPERTY LOCATI :
SUBDIVISION ct~~s LOT # to
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ~~yo Ced .c-~- , tj t'/~c r~~ Q (Initial) Wastewater Flow: GPD
(See note below, if applicable
w (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench f 5-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 6 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
Aggregate Depth: inches above pipe
Conditions: cr~.• 1. c o C~~ b'`
inches total
**If applicable: / understand the system type specired is different from the type specibed on the app/icdtion. / accept the rpecificationt of thfa permit.
Owner/Legal Representative Signature: Date:
um wmtrucuun Rumunzanon is suulea to revocation it me sire plan, prat, or the intenaeo use changes. Ine 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State ARent-U ^ L Date: / LTI
Construction Authorization Expiration Date: Y L-~ Of
HTE# ' ~17 53 Permit # Z ~d 6 6
Harnett County Department of Public Health
Site Sketch
pp PROPERTY LOCATON: 5-.Z //'1/ /"1,' U-( .est.
ISSUED T0:a~+c f I C~~, j~! l ~t~, SUBDIVISION cti.°~'{ 07 LOT #
Authorized State Agent: ~L Date:
el I
t,x0
asa
rs'T
Uepartmetll ul CIIv11umntliit, nu um, dtlu IVdtuid1 rlCJuuiGCJ
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
~ublic [ j Individual
[ .]Auger Boring
[ ,f Sewage
JI ICCt.
Property ID:
Lot
File
Code:
Applicant:
[ ) Well
[ ] Pit
[ ] Industrial Process
Date Evaluated: s/~~/6~
Property Size:
Property Recorded:
( ) Spring Other
( j Cut
( ) 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
Sod
Wetness!'
Color
'.1943
Soil .
Depth (IN.)
1956
Sapra
Class
1944
Restr
- Horiz
Profile i
Class.
& I,TAR
~f4f/
~f
Description
Initial Sy em
Rep ' System
Available Space (.1945)
V/
V/
System Type(s)
N v
Site LTAR
r
Other Factors (.1946)
Site Classification (.1948): Pf
Evaluated By: 6t-
Others Present: