IPACHTE# (-I- S 22OZ Harnett County Department of Public Health 2 5 4 0 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /235: D16
ISSUED TOlL` f~? 171 SUBDIVISION LOT
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: DL,--" VY,-4
Proposed Wastewater System Type: .254 J?4-60624-1)
Projected Daily Flow: GPD
Number of bedrooms: Numbe of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No M~be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 5 Public ❑ Well Distance from well feet Permit valid for. 6Q Five years
Permit conditions: ❑ No expiration
Authorized State Agen Date: 5 O l` 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: Vin PROPERTY LOCATION:
SUBDIVISION ~~i~ !tN S /yt iSs LOT #
Facility Type: Q w H 2 New ~❑xpansion El Repair
Basement? El Yes No Basement Fixtures? El Yes 2 No
Type of Wastewater System** ZST%6JZ0, 01' yy, ) ~(Initial) Wastewater Flow: c/~ GIRD
(See note below, if applicable
al010 S _(Repair)
Installation Requirements/conditions Number of trencdes q
Septic Tank Size fZ06 gallons Exact length of each trench feet Trench Spacing: _7_ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: w inches
Maximum Trench Depth of-, / inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"Af,12,t 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM <a inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: / 7
inches total
**If applicable: / understand the system type pecified /s different from the type specified on the application. / accept the speciffcationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site nhn nlat or rho intonelnd -P rhin~o, Tho r,,,, -ti
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 c` Date: S"= ~5--= b 1
Construction Authorization Expiration Date: -L7- t 5 ~lY
HTE# ZZ Z C7 Permit # 2 s`/ y Z.
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:.S< 1705- a ssc roz~ d
ISSUED TO: IP'l/aZ44-x) SUBDIVISION LOT #
Authorized State Agen 5 Date: SJ-/ S -O~
p~ S~ TF RZ-1 -i.
4-0
col
S11-:1-
I rte,
5-0r
/ OAO
~rlisv~~
131 14 j ~ f zN~ l r
S 5f!~-s jsr~ E
77 7-
vnco~
Division of Environmental Health
.
Property 10:
On-site Wastewater Section
Lot
File
SOIL/SITE
EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: 12
; = x
Address:
~
Date Evaluated: ~
,
~
Proposed Facility: D1iYL-4
Design Flow (.1949): Voo Property Size:
Location of Site:
-1
Property Recorded:
Water Supply: 14
public
Evaluation Method:
4
A
B
[ ] Individual
[ ] Well [ ] Spring
(j Other
[
j
r
ori
ng
(J Pit [ j Cut
Type of Wastewater: [ Sewage
Industrial Process Mixed
P
R
O SOIL
MORPHOLOGY
OTHER
`
+
F
.1941
'
PROFILE FACTORS;
.194Q
L Landscape Horizon 1941,'
E PositioN Dd
th Strud
l
x,1941
`
.1942:',
Soil 1943 .1956 x,1944
PfoB(e
p
ure
# Slope% IN.) Texture
consistence
Mineralogy
Wetnessf'; t SoN`,. ;Saphot'- Restr;.
Color ~Pth` IN
) Class H
Ctasa.
.
orn
& t:TAR
Al
L
.ZS
J6 SZ"
6
-
-/S
YL
Z 10
Z %
L
(~,,,c A, .Of
J-6-, Kg
l A'-
35~.
Q(6 0 IS- fc_
Ls
42
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
li`~ly
ISite LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By
Others Present: