IPACHTE#0~-5"-z/~?7PS ?io-,7 Harnett County Department of Public Health 2 51 4 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-5)(/y03
ISSUED T0:-ZiYJm SUBDIVISION LOT #
NEW IiK REPAIR EXPANSI ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F -t- [31Jr/ D r,.1(
Proposed Wastewater System Type: Z-5' fin (Z~f~t~U ? ulZ
Projected Daily w GPD
Number of droo 3 Number of Occupants: max
Basement es No
Pump Req " ❑ No LCJ~Mae required 13skd on final location and elevations of facilities
Type of Water Supply: ❑ Community E? Public LT Well Distance from well / 06 ` T feet Permit valid for: E2 Five years
Permit conditions: ❑ No expiration
Authorized State Age ~ Date: ':5 -15-- 0 !~Z 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 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, .1957, .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: : r m IZ bD PROPERTY LOCATION: 2 rt)
SUBDIVISION LOT #
Facility Type: ~U f r~~ ;Aew ❑ Expansion E:1 Repair
Basement? Yes ❑ No Basement Fixtures? IE Yes ❑ No
Type of Wastewater System" ZS'~/o iZrcL )uTyiJ (Initial) Wastewater flow: 3(,4 GPD
(See note below, if applicable
_~c~cruzS~~~ pair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1,90b gallons Exact length of each trench 2X) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. ,y"/" 'Anches (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
r Aggregate Depth: Z inches above pipe
Conditions: 15' p{' ' 13ASGr~-t~ T GJ!TN /Z inches total
**If applicable: /understand the Yste n7 type specified is different from the type specified on the app/ication. / accept the fpeci>ications of this permit
Owner/legal Representative Signature: Date:
~u> nurumi eouu D 1-irtt m reruwuun n me site pran, plat, or the mtenaea 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 Ag 2 Date: a2
Construction Authorization Expiration Dater -
HTE# 2478 7LZ! , 75 Permit # 25-1 V5
Harnett County Depa (ment of f'ilhlie Health
Site Sketch
PROPERTY LOCATON: -rt1,163 A:~ a
ISSUED T0: ~SUUBDIV ION LOT #
Authorized State Agen 2 Date: S - /5 =o f
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Division of Environmental Health Property ID:'
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Z/8~° y~ZI~°f
Address: Date Evaluated: Y rya
Proposed Facility: Design Flow (.1949): J'wa Property Size:
Location of Site: Property Recorded:
Water Supply: [ fKublic [ J Individual Spring
) [ J Other
Evaluation Method: [ fAuger Boring ( Pit [ j Cut
Type of Wastewater: [wage Industrial Process (j Mixed
P
R'
o SOIL MORPHOLOGY OTHER` r
F .1941 PROFILE" FACTORS -
1 1940
1942
L Landscape 'Horizon 1941 .1941 Soil 1943 1956 .1944 Profile
E Positiorv Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class
# Slope% (IN.) Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR
J2 - Yg Sc- c~ = J
2 L 7'b o - JY 5L A)
SG G~
3 L 7'$
K D i Z /U SA) e
6 r~.sss";,JQ.
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
L6'L.
tA"%-
Site LTAR
3
•
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: