IPACHTE# O9 -~5-- z 1798 Harnett County Department of Public Health 2 51 4 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION-'//'//S" iZiz
ISSUED TO: I~ of G SUBDIVISION fJQ~ ~~r~ /Lz!)l~ LOT # /S
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: N r,.J S F d
Proposed Wastewater System Type: 75a/n4f tk'j'W
Projected Daily Flow: _30) GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes IQ No
Pump Required: ❑Yes ❑ No U Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IQ Public ❑ Well Distance from well feet Permit valid for. Z --Fie years
Permit conditions: ❑ No expiration
Authorized State Agen C 1 ~(,g~✓~'l rtS~°'"`a Date: 0 ~j SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 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: PROPERTY LOCATION: ` ~ZCJ
SUBDIVISION aac/l 6~' LOT #
Facility Type: s New Vo
xpansion ❑ Repair
Basement? ❑ Yes 0 No Basement Fixtures? ❑ Yes Typ
e of Wastewater System** ~SL'/b ~c,~L ~i~rccrc~~ (Initial) Wastewater Flow: <360 GPD
(See note below, if applicable
$~tllo/Z~~CI~LAla/2~7- _(Repair)
Installation Requirements/Conditions Number of renches
Septic Tank Size /6Q0 gallons Exact length of each trench ~dD feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6, inches
Maximum Trench Depth of. -fO inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: L inches above pipe
Conditions: /L inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications ofthis permit
Owner/Legal Representative Signature: Date:
11•°•• ,..,.ter", -1 F-1 p-, m arc ❑neuueu use cnanges. ine construcoon Autnonzaoon snail not " transterred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag t: Date: -l l -09
Construction Authorization Expiration Date: = / 1 - /
HTE# (~1 'S" -Z/-7£s' Permit # ZS/ `l 7
Harnett County Department of 1' iblic Health
Site Sketch
PROPERTY LOCATON:,rC/~f/5'~
ISSUED T0: ~i~yYj </~Sy1J SUBDIVISION LJ,lQ15Z ,~2 P )qrd 61 LOT #
Authorized State
I'm.
uepartmenlul cnvnuiunum, nCdUl, dllU NdlUldl RCJVWICJ
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
J$ ICCI.
Property ID:
Lot
File
Code:
Applicant: 17 r- - _B5
Date Evaluated:`
'fl Design Flow (.1949): JCS Property Size:
Property Recorded:
- Public [ ] Individual [ ] Well [ j Spring [ ] Other
[ Auger Boring [ it [ I Cut
[wage Industrial Process [ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
t9a1`
OTHER
PROFILE FACTORS
L
E.
#
194Q
Landscape
Position/ :
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942:
Soil
Wetness/'
Color
1943.
Soif ;
Depth IN.
1956,
Saps
Class
1944
1 Restr'
Horiz
Profile
Class '
& I+TAR
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2
Description
Initial Syste
Repair S em
Available Space (.1945)
System Type(s)
M%
4
I Site LTAR
. &
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: