IPACHTE# Q1- s- zi673 Harnett County Department of Public Health 25142
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:. S l "j 0-~3 /Z D H--T=41 C ~-t3 rLa-t ~L,`J
ISSUED T_~~SUBDIVISION LOT #
NEW 4EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: E~lu ~j
Proposed Wastewater System Type: 25 T b~
Projected Daily flow: 50 GPD E~A~ca~
Number of bedrooms: 7 Number of Occupants: max
Basement ❑Yes L~1 No
Pump Required: ❑Yes ❑ No LJ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IJ Public ❑ Well Distance from well feet Permit valid for. Z Fie years
Permit conditions: ❑ No expiration
Authorized State Agent Date: ~f - Z7 -O `J SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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 taws 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: ~ ~ PROPERTY LOCATION: S,rZ/76 3 / ~ As6/
SUBDIVISION LOT #
Facility Type: 13o=16f M-C> New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2S'n (Initial) Wastewater Flow: 5'y GPD
(See note below, if applicable
2 S12P~7 UC.+`"7 cry,~a.~.- (Repair)
Installation Requirements/Conditions Number of trenches --I
Septic Tank Size loop gallons Exact length of each trench 160 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: 2cf'rnches (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:
L inches above pipe
/ ZL inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. /accept the rpeciflcationr 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 he transferred when there is a rhanaa in nwn-hin of tha tita Th <
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 oernm SEE ATTACHED SITE SKETCH
Authorized State Age Date: r! -7? -e
-2=2 Construction Authorization Expiration Date: If -Z?--t y
HTE# oS -s - Zt873 Permit # e1 S/ 5~ -2-
Harnett County Depar(ment of Public Health
itc, Sketch
PROPERTY LOCATON: s71763 ,&-4) 1&-11a
{41~ iZb
ISSUED TO: SUBDIVISION LOT #
Authorized State Agen . Date:
i3~ li
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ueparununt ul cilviiviuneiii, ncdull, dllu IVdluldl 11Cbuul,_ J
Division of Environmental Health
On-site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
01 ~Ct.
Property ID:
Lot
File
Code:
4
Applicant Z/8j 7 5
Date Evaluated: y ~Ta}
61. Design Flow (.1949): Property Size:
Property Recorded:
(/L blic Individual (J Well [ ] Spring [ J Other
( Jl A ger Boring [ J Pit (J Cut
(?wage [ J Industrial Process Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/-
Color
.1943
SON
Depth (IN.)
.1956
Saps
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L z%
02
,
^ ZU
SL
~3~~
z`
° LY
SL
~
z
L
~
Zy-~z
aU ~y
I p
Ito°` Y~~
7
v-rg
SL-
/~13n1~
q
Description
Initial Syst
Repair stem
Available Space (.1945)
t1l
System Type(s)
Z~
Site LTAR
' jS~•N
q.
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: