IPACHTE# Og = Z2 0 7 i Harnett County Department of Public Health 2 5 4 0 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: $iC 7& J D i> /2f>
ISSUED TO: 17F_ SUBDIVISION TLy 4W 41k.-2 LOT
NEW [i~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:[
Proposed Wastewater System Type: am Z5%
Projected Daily Flow: 3(ad GPD
Number of bedrooms: Number of Occupants: (o max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ZMay.e required based on final location and elevations of facilities
Type of Water Supply: E] Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: >-Z/ -O 5' SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 i 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, .19S6, .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 T0: - /UST~N R/Z" PROPERTY LOCATION: /_7~~
(VISION /Z~~4c~'i,-~c% LOT #
Facility Type: /New xpansion ❑ Repair
Basement? ❑ Yes N o Basement Fixtures? El Yes Type
IN
of Wastewater System" ZS'%66r&7,e} 'a*1 6-0- (Initial) Wastewater Flow: 7&Q GPD
(See note below, if applicable
LS% tZ.C'I~ uL (Repair)
Installation Requirements/Conditions Number trenches _3
Septic Tank Size 16 _ gallons Exact length of each trench B feet Trench Spacing: _ 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. ZJ 4' 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:
inches below pipe
Aggregate Depth: 2 inches above pipe
- 4,7,- inches total
**If applicable: /understand the system type specified is different from the type speafied on the app/ication. / accept the speciTcations of this permit
Owner/legal Representative Signature: Date:
- U-1-1- „U IV-d wn a wuleu m tervcauon a me site plan, plat, or me mtenaea use changes. ine Construction Authorization shall not be transferred when there is a change in ownership of the site. This
lonstructmn Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 901--) Z MAIIA4 4, lf 5 Date: g " Z1 -61
Construction Authorization Expiration Date: S- Zf -I
HTE# DPI - ZZ~)7l Permit # 215-ye6-
Harnett County -Department of Il~iblic Health
Site sketch.
/ PROPERTY LOCATON:
ISSUED T0: -I c~3 r~,J /7'0 2 SUBDIVISION /TfS LOT #
Authorized State Ag Date: 9
D
I ~~,2 C,-Ojtirtj Fbled
uepatunenl ui clivnunu,icon 1-
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Property ID:
Lot
File
Code:
Applicant: 2Zd ?l
Date Evaluated: S =2J'
~J1 Design Flow (.1949): 34,0 Property Size:
Property Recorded:
[ blic [ j Individual [ j Well (j Spring [ j Other
[ uger Boring [ ] Pit [ J Cut
( Sewage [ ] Industrial Process [ J Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940:
Landscape
Position%
Slope%
Horizon
Depth'
(IN.)'
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness!. '
Color
'.1943
Soil' .
Depth (IN.)
.1956.
Sapror
Class
.1944'
Restr
Horiz
Profile
Class.
& LTAR
0-20
is
50)?
1
z
Zo .y2
SC- C L
Sf
~yz
•
.1
&s
6L 6yc
Z
L z%
- uv
5C -CL,
77
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
• q
3
Other Factors (.1946):
Site Classification (,1948):
Evaluated By:
Others Present: