IPACHTE# Q5 "S--ZZOS'~, Harnett County Department of Public Health 2 5 4 0 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: Svt 9 'aeecc,<
ISSUED TO/ S/~/7 /3 y cl c s C SUBDIVISION 95;;W3,1,3 LOT # T~
NEW C~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFb
Proposed Wastewater System Type: Z 5 %.1ZC-b tTZ.f'L.4-"
Projected Daily Flow: 3 (.a GPD
Number of bedrooms: - Number of Occupants: 4 max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No LEI me required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ir Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agen .a,✓ Date: S ' Z~- d S SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .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 IayouL
ISSUED T0: !,tlr
d-,J Fvr~c~c cs s ~l - PROPERTY LOCATION: _vZ/V Y
SUBDIVISION --,-)7h4.1sr0 LOT # 28
Facility Type: F~ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes R No
Type of Wastewater System** (Initial) Wastewater Flow. ~D GPD
(See note below, if applicable
zsr'/'~_/ Z Aw tn"__(Repair)
Installation Requirements/Conditions Nu ber of trenches /
Septic Tank Size Z06 D gallons Exact length of each trench Z yd feet
Pump Tank Size gallons Trenches shall be installed on cgntour at a
Maximum Trench Depth of: 36'-)19-2Y- ( s
(Trench bottoms shall be level to +1-114"
in all directions) -f ->I 2`/ ~t19
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: T-- Feet on Center
Soil Cover: _ 4 _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
k_ inches below pipe
Aggregate Depth: L inches above pipe
z inches total
**If applicable: /understand the system type rpecifled it different from the type tpeci6ed on the application. / accept the specifications of thif permit.
Owner/Legal Representative Signature: Date:
v- , -j- - rc.o - n ❑le are pion, pear, or me mcenaea use cnanges. ine tonstructon Aothonzanon 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 Age • Date: S'Zo-61
Construction Authorization Expiration Date: 5 Zo
HTE# 220S-c-'o Permit # 2 516 Z
Harnett County Department (A Miblic Health
Site Sketch
PROPERTY LOCATON: ~/04^z3~ X6
ISSUED TO: ~5TK fYL~-nUJ-)'-} ay.~ ,i 22S SUBDIVISION of 3 LOT # ZE
Authorized State Agent: Q
~ Date: S- Zo -(5,F
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Division of Environmental Health
On-site Wastewater Section 4
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater.
Property ID:
Lot
File
Code:
O ~6
Applicant: Z -2
Date Evaluated: S7/9^65
Design Flow (.1949): Property Size:
Property Recorded:
[,]-Public [ j individual [ J Well [ j Spring (j Other
[,Auger Boring [ J Pit [ j Cut
j -!a ewage [ J Industrial Process [ j Mixed
P
R
o
SOIL MORPHOLOGY
OTHER
F
.1941
PROFILE FACTORS
1
1940
1942
:
L
Landscape
Horizon
1941
A941 '
Soil .
1943:
1956
1344
Profile
E
Position/
Depth
Structure/
Consistence
Wetnessr ' -
Soil ;f
5apror` '
Restr,.
Class. ,
#
Slope%
(IN.)
Texture
Mineralogy
Color:
Depth (IN.)
Class
= Horiz -
& LTAR
30
3
e.
.1
elz"-~'y.
ys,
L L "-z s,.
Z-Zy
elf- YD 5CIL C_ R
w
18 :54- jg5j- 'd ~
/9 -.r6 -5C L /4k e
j
q X-
Description
Initial Sys m
Repa System
Available Space (.1945)
System Type(s)
L5'~
?-61.. ae-p
Site LTAR
` 36 -
Other Factors (.1946):
Site Classification (.1948): J
Evaluated By.
Others Present.