IPACHTE# 09 - 57- 4(,?-Z6 Harnett County Department of Public Health 2 51 4 3
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION; /s~L /19470 ~ )e-16
ISSUED T . [V ~-C~tDfos ,CIE /V,9, ~ SUBDIVISION (3,,9 t.~Si iS4~.us~ LOT #7
NEW E~l~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: "r I H
Proposed Wastewater System Type: Z5-0*,
~LYY~31
Projected Daily Flow: ,3(.0 GPD
Number of bedrooms: - ' Number of Occupants: max
Basement ❑Yes L9 No
Pump Required: ❑Yes ❑ No ZMayv.4e'required b on final location and elevations of facilities ZF"e Type of Water Supply: ❑ Community L!I Public L~1 Well Distance from well /Op rt`' feet Permit valid for. years
Permit conditions: ❑ No expiration
Authorized State Ag Date: 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .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: Allr,44y ZJ4-zA ? (r~~ rr PROPERTY LOCATION:SP2 t Sr2 /M4V44,.-< 2~
SUBDIVISION C4;.,J ~►g 3e,~~ LOT
Facility Type: S(,~ f{ New xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ICJ No
Type of Wastewater System** 254'00uczt~J~~J~, (Initial) Wastewater Flow: 3~ob GPD
(See note below, if applicable
zgzx>E ZS~~otZ~2-~ZnJ (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size /Od U gallons Exact length of each trench / 46 feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover _(,e_ inches
Maximum Trench Depth of: 2', f 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
Conditions:
P inches below pipe
Aggregate Depth: 2 inches above pipe
/2 inches total
*If applicable: l understand the rystem type rpeci6ed is di/ferent from the type specired on the application. l accept the fpecif1wiofls of this permit
Owner/Legal Representative Signature: Date:
ims construaion AumonZadOn is suofect to revocation it me 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 Agen . Date: 0 7y
Construction Authorization Expiration Date: ~f /V
NTE # 05 -'5- Z 19 Z C) Permit #
Harnett, County DepaYrtment of h blic Health
Site Sketch
PROPERTY LOCATON:-~rz/57$Z AA rlh-r~ Z10
ISSUED TO: fll.Ldpl-fs L~J4~► F 4) e vat'. SUBDIVISION LOT #
Authorized State Age Date: y 3PJ`b
I-7~
k libeej rLv, r~~
till 7-m
SA~
10' R2o D ,'""f '
4-o -73
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Division of Environmental Health
On-site Wastewater Section
SOILrSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: "yr Design Flow (.1949):
Location of Site'
Jf 1
Property
Lot #
File
Code:
Applicant: 0/ `I
Date Evaluated: ~f zd~ F
Property Size:
Property
'0 Recorded:
Water Supply: [ Public Individual (-Wep
Evaluation Method: [ J Sprang [ J Other
[ I Auger Boring OPit
Type of Wastewater. [ J Sewage [ I Cut
[ ]Industrial Process (J Mixed
P
R
O
SOIL MORPHOLOGY
F
.19+1
1
.1940
L
Landscape
Horizon .1941 .1941
E
Position/
Depth Shutt" Consistence
•
S"%
IN.) Texture mlineralogy
t
L ~;o6
1-&- 33 561- w)!s.,JP
_Z L e~ a ' z Y fly G,~ ~SJc'
3
l'ir - &t-.
1Z_'f Z' 8(.- Gin,,
Initial
Available Space f, 1945) 1 / 1 ' 1
System Type(s) 1
Site LTAR r 41
. OTHER
PROFILE FACTORS
.1942
SOIF
Pry
Wstnesal' 1943 19'.!a 1944`
Sdh . S*O' Rests Class
IN.) Gass Horn a IL -Color 3GW-l"' 1 1~ . q
Other Factors (.1946):
Site Classification (.1948): y
Evaluated 13y,
Others Present:`