IPACHTE# o~-s-Z18- Harnett County Department of Public Health 25139
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5 f Q f X0 5 tzb
ISSUED T . /Y P'y4 -7-ox.,sa-') SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: U L-' vim. +4
Proposed Wastewater System Type: 25dl E?E~tlofto~~~
Projected Daily Flow:a GPD
Number of bedrooms: Number Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Mae required based on final location and elevations of facilities ~
Type of Water Supply: ❑ Community Public 11 Well Distance from well feet Permit valid for. 2 Five years
Permit conditions: 1J C,~,•1e TZ t tJ / L-) a ~,~L., s~~ {mac r ❑ No expiration
Authorized State Agen Date: SEE ATTACHED SITE SKETCH
The issuance of this permit 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 i the site plao, 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, .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: KClolj e -,"jo`i~sa7J PROPERTY LOCATION: .3t2 (57.0 G~dc,s ttT
SUBDIVISION LOT #
Facility Type: New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? 11 Yes No
Type of Wastewater System"'" 251. W,,Q L"73 5,, f (Initial) Wastewater Flow: 3 4, T-) GPD
(See note below, if applicable
Aso /~st~oUlZb~J x. s 4>,-_. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1000 gallons Exact length of each trench 106 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover h inches
Maximum Trench Depth of: 2`-I- 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: 6-~+ -7~t Ta Z15 10AJ q-tov j- ~ 0A z, qXJ- I L inches total
**If applicable: / understand the system type specified is different from the type specified on the application. l 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 Agent. Date: 4-``A L)
Construction Authorization Expiration Date: y- / (v-/ q
HTE# 0 ~7- Zj B 3/ Permit # 2 5- 1 3°
Harnett County Depailinent of Public Health
itc Sketch
-o PROPERTY IOCATON:S/~ /5!0 o
ISSUED T0: /~c,~i~ e •C~s-n SUBDIVISION LOT #
Authorized State Age ss~ Date:
-Al
of E~UJ /
►E~ n 'i
0
t
/93
t5
j~ iZT✓ ~ t
Z5'/o
31Z. / 5Z (D F<sAJs IZ6
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Uepal Lit 1CIIt UI CI IV 1. v.....c. .cu.. .•..w.v.
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
~~n-~ Design Flow (.1949): %l
[,,rfrublic [ ] Individual
[~er Boring
[ Z age
Property ID:
Lot
File
Code:
Applicant: ZId 3 I
Date Evaluated:
Property Size:
Property Recorded:
[ J Well Spring (J Other
[ ] Pit [ ] Cut
Industrial Process [ ] Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
A941
Consistence
Mineralogy
.1942.1
Soil
Wetness/' `
Color
j,,1.1943
Soil
Depth (IN.)
-.1956
Saprm
Class
1944
- Restr
Horiz
Profile - '
Class:,:
& LTAR
0.3°
sL
cw- s-a
P
.3
~b
~
tr
L
-qq
se-
C
-w
5
,~iY✓
3
L~`b
67 .2'i
aL,
-
3
Description
Initial Syst
Repair ystem
Available Space (.1945)
System Type(s)
lf~l~
Site LTAR
i 3
3
Other Factors (.1946):
Site Classification (.1948): 1-0
Evaluated By.
Others Present.