IPACHTE# y9 21`1 Z 7 Harnett County Department of Public Health 2 5 4 0 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS /Y-T ,z3,v~l~t,C -C~f
ISSUED TO /~DY j>r~ 1 ,✓G SUBDIVISION- 1Zwt~c~ LOT # _1_.7-
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L F'b
Proposed Wastewater System Type: Z S'/o t1-IJU C-J-t~
Projected Daily Flow: 3 60 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 1J No
Pump Required: ❑Yes ❑ No [1Ma e required based on final location and elevations of facilities j
Type of Water Supply ❑ Community L~ Public El Well Distance from well feet Permit valid for. Z Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: S -09 SEE ATTACHED SITE SKETCH
The issuance of this permit a 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 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_ n
ISSUED TO:.~xmyk . j~ ,l~/12 ~~c•~ PROPERTY LOCATION: 1y37,~ `,p,~~~2/1
~ SUBDIVISION r/ecs LOT #
Facility Type: _
s~ L~ New _xpansion El Repair
Basement? El Yes No Basement Fixtures? ❑ Yes EJ No
Type of Wastewater System** (Initial) Wastewater Flow: 3~-6 GPD
(See note below, if applicable
~•IfJGC Y4D (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size le);-zS d gallons Exact length of each trench 6'0 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: 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.
Conditions:
Aggregate Depth:
inches below pipe
Z inches above pipe
l Z- inches total
**If applicable: /understand the system type rpeci6ed it different from the type rpecilled on the app/ication. / accept the .rpeci&36nr of this permit.
Owner/Legal Representative Signature: Date:
on uuwmr nuuwnceumr n wujett to revocation it me site plan, prat, or me intenaea use cnanges. the Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction nutnonzahon 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
7.~
Authorized State A 2 Date:
Construction Authorization Expiration Date: t;- -6 ~
S
GPM
HTE# O~ "5 ZF Permit # 2 5 `1166
Harnett County Department of Miblic Health
Site ketch
PROPERTY LOCATON:.SZ 9,411,,4, . ,ZA
ISSUED TO: i~~ SUBDIVISION _f eLa~irr~. ley LOT # 1L
Authorized State Agen ~ Z Date: - - = - a S
t~
UepaluI Itii it ul CI lvn U, nncui, icwu,, u.~u .ww,a,
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:
Design Flow (.1949): cw_~)
[ Public [ J Individual [ J Well
( uger Boring ( it
( ewage (J Industrial Process
'?_41~
Date Evaluated:
Property Size:
Property Recorded:
( ] Spring [ J Other
[ ] Cut
[ ] Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941`
_
OTHER
PROFILE FACTORS
L`
E
#
.1940
Landscape
Position)
Slope%
Horkon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
1942;
Soil.
Wetnessl ' -
Color
>.".1943
Soil
Depth (IN.)
.1956
Sapra
Class
.1944`
s Restr
- Horiz
Profile
Clasa
& LTAR
~l3
arc.
yZ `~y~
y
L
T Psi
Z
Description
Initial System
Repai stem
Available Space (.1945)
System Type(s)
2~'
'~sc
v
Site LTAR
-t
t^
- V `
Other Factors (.1946):
Site Classification (.1948): F--s
Evaluated By:
Others Present: "