IPACHTE#d'? -:5--2Z15-2 Harnett County Department of Public Health 2 5 41 1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION• ~/~/'703 ;W ,4k/l Li ;Qb
ISSUED Tfj.." SUBDIVISION LOT # _
NEW E REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -SR)
Proposed Wastewater System Type: 1 (J§. A37ZO)34-1
Projected Daily Flow: 2Z/U GPD
Number of bedrooms: 9- Number of Occupants: max
Basement ❑Yes l~ No
Pump Required: ❑Yes ❑ No Z Ma a required based on final location and elevations of facilities ~z Type of Water Supply: ❑ Community L~ Public ❑ Well Distance from well feet Permit valid for: Itt Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: L - Z. -Oct SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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
ISSUED TO: PROPERTY LOCATION: siZZ-70'~ JW:-J) 14r,11 CJ~-
SUBDIVISION LOT #
_
Facility Type: S E~ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? Yes IN o
Type of Wastewater System** ~~Ifi-dh1 (Initial) Wastewater Flow: ,.ZSiy GPD
(See note below, if applicable
G d,A) (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size / 066 gallons Exact length of each trench I Z y feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. --~e_- inches
Maximum Trench Depth of. ,2 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: Z inches above pipe
/ Z inches total
If applicable: / undeatand the system type specified it different /rpm the type specified on the app/ication. / accept the .rpeci6cationr of this permit
Owner/Legal Representative Signature: Date:
,4 „4 ~1-1 -.1- 'o use vre pian, piar, or me mrenpep use changes, ine tonstructon 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 SITF SKETCH
Authorized State Agen Z . Date: 6 ' L - o~
Construction Authorization Expiration Date: 6 - Z - / y
HTE# r~a1 - S - ZZ 5-,Z Permit # ASV II
Harnett County Department of J-~ blic Health
Site Sketch
PROPERTY LOCATON: SiC /703 12,e L)
f:1A
ISSUED TO: SUBDIVISION LOT # Authorized State Age k Date: 6 `Z-05'
W
c~
~n
q0 -1a
59170-3 xf--D rtxlt <:l~ TD
v. rcva. e
Division of Environmental Health
Property ID:
On-site Wastewater Section
Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: Z
Address:
Date Evaluated:
<)y
Proposed Facility:
5
Design Flow (.1949): Ly 81
Property Size:
Location of Site:
Property Recorded:
Water Supply:
(t6.u b I I c
[ J Individual Well
( J Spring
[ j Other
Evaluation Method:
[ ] Auger Boring [ J Pit
Cut
Type of Wastewater:
V"Sewage
[ J Industrial Process [ ] Mixed
P
R
O
SOIL MORPHOLOGY
OTHER
1=
1941
PROFILE FACTORS
1
..1940
.1942 Y
L
E
Landscape
Position/
Horizon
Depth
1941.
Structure/
1941
Con
i
t
Sok..:' ..1943.195ti x
.1944`
Profltg~
#
Slope°i6
IN.)
.
Texture
s
s
ence
ralogy
Wetnessf' SOR`;-. lap'
color D
1
Restb;
Clasp
epth
N.) Class _
Noriz..
& LTAR
SoL
O - 5L ,X .).s"►p
3 ~~o
L- 8 APL ~"C Kt,--/tic. S . r'
y H -16 SL 7(.-
4b sc • cl IfD~c- J.P,
Z~SY~
B
Description
Initial Syst m
Rep r System
Available Space (.1945)
System Type(s)
or-,-
Lam'
Site LTAR
S~~
r 35"
Other Factors(, 1946):
Site Classification (.1948):]
Evaluated By:
Others Present:
Y