IPACHTE# O°r -S-z1g$~ Harnett County Department of Public Health 25140
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.SG
ISSUED SUBDIVISION Al, LOT # /y
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F-b
Proposed Wastewater System Type: ZS%v Z45~QC474)-~
Projected Daily flow: .3(p GPD
Number of bedrooms: ~3 Number of Occupants: (-:51 max
Basement ❑Yes [2" No
Pump Required: ❑Yes ❑ No C? Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community l!1 Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions:^ /jtf /AJIff.~jC(~)~ ❑ No expiration
Authorized State Ag Date: 41 "ZO - SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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, A% 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: 6tg _ e PROPERTY LOCATION:
SUBDIVISION LOT
Facility Type: L~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2"ko
Type of Wastewater System** Z!M 1~~C.y?d z~~~l~~ ~5►~7b ~ (Initial) Wastewater Flow: GPD
(See note below, if applicable J
(Repair)
Installation Requirements/Conditions Number of tren es Z
Septic Tank Size 1 0,06 gallons Exact length of each trench !S'o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z Z 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 Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Z - inches below pipe
Aggregate Depth: Z inches above pipe
2 inches total
**If applicable: / understand the system type specified is different from the type specified oa the app/ication. / accept the spec1f1cat1ons 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 rhanoo in nwnerthin of rho ( to Thic
lonstrucuon 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 AffALKED SITE SKETCH
Authorized State Age : 1Z ~ Date: g! Z0
Construction Authorization Expiration Date: 4f - Z0 -/~f
HTE# .09-5-- ZlkfS Permit # 251 q Q
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 3a Z4e
ISSUED TO: CaL/Y~ ~ ~d SUBDIVISION iV. 44 T~~ S LOT #
Authorized State
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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:
Property ID:
Lot
File
Code:
Applicant:
Design Flow (.1949):
5&6
1 '4-<U6 lic ( j Individual
[ j Well
( Auger Boring
[ ] Pit
[_j'!~ewage
(j Industrial Process
2 / 883
Date Evaluated: Y-/q-47
Property Size:
Property Recorded:
[ j Spring [ j Other
[ j Cut
[ j Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
L
E'
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure(
Texture
1941
Consistence
Mineral ` y
.1942.
Soil
Wetness!
Color
`;.1943
> Soil ;
Depth (IN.}
- .1956
Sapror'
Class
.1944'
j- Rests
Hord
Profile
Class;
& LTAR
L°~
v " iZ
-X
r
1
,
/Z • yD
C. C_
10
Z
Description
Initial Systq(n
Repair stem
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948): F-ID
Evaluated By:
Others Present: