IPAC RRRHTE# 0g-~r_= 2r-7 ?z 4U Harnett County Department of Public Health 2 5 2 7 4
Improvement Permit
A building permit cannot be issued with only an Im rovement Pe~}it
PROPERTY LOCATION
ISSUED TO: a.S"O A- Pt,. <e SUBDIVISION f t d LOT # f 6
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SiC S~ xq( [I
Proposed Wastewater System Type: .2,! (c e-( -
Projected Daily Flow: GPD
Number of bedrooms: - - Number of Occupants: C max
s ®No
Basement ❑Ye'
Pump Required: 1E1Ces ❑ No ❑ MMa~e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E Public ❑ Well Distance from well feet Permit valid for. Ci'five years
Permit conditions: F.,.14 11,-F4 P rq w+ f r-G v. ~ _Q 6 7o_,,4 ❑ No expiration
Authorized State Agent : / Date: 00
SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in 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 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, .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: `Pr; ce PROPERTY LOCATION:
SUBDIVISION LOT # / Q - AS Facility Type: 5 F'Q C'-'New ❑ Expansion ❑ Repair
Basement? ❑ Yes Fl' No casement Fixtures? ❑ Yes ❑ o
Type of Wastewater System*'` tv114~ 02S-/- lu1v r44 ~ (Initial) Wastewater Flow: S60 GPD
(See note below, if applicable
P~,"''Q 4~, f f _6)1 f / (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /cb0 gallons Exact length of each trench dlO 0 feet
Pump Tank Size 00 d gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. /P - /s" inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Covet: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: X06^_ d • -4-U_ G ^ Co'". c- ie,
1, Aggregate Depth:
inches below pipe
inches above pipe
inches total
If applicable: l understand the syrtem type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chanties. The Construction AuthoriTabnn rhatl not ho t-f..nA mhnn thnrn < h e m --hi t .6w . T6;.
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 Agent: Date: G 0C
Construction Authorization Expiration Date: 2C/~/
HTE# 07- S- 217 I2 lZU
Permit # _,f-d,7 4
Harnett County Department of Public Health
Site sketch
(Q~ PROPERTY LOCATON: J2 l//1 r 'ed
ISSUED T0: SUBDIVISION LOT #
Authorized State Agen o _'p, f Date: G Z~~ 0 5
2G)
~~"J L-J VJ VJ• VOA
mlcnael eaKer
IV 6f-.ro"-
Lockwood Ur.
THE LAUREL
8108224540
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VAyj
Jason Price Construction Inc.
Lot 140 Asheford
Scale I" = 40'
Z'd L MZ68M "id u0ser
p.1
d06:90 60 LZ Ae(N
• ~.E+a w t ~ree t earcer 5 1 U8;~24540 p. 2
SOU'I'.L HASTEN SOIL ENVIRON1V[EWAL ASSOC, INC.
PROPOSE 1) StiUSUJk, ACk_"\;VAS'1'.E DISPOSAL SYSTEM .Ul++'J'Ali1 Sltvla',l'
s~t►3yytv~s~~>.N t 41 -4 ~P
1) 1S'iRIBUTt0 N Sf-AAc
BENCH IVXARK /4a
NO. BEDROOMS
111N f.' li I,AG C0I.101Z
D1.5TRI-BUTiON f~rw/1
LOCA`l'.ION f'L~cti o.!n t~ j2~~s
ry el
Ul LEVArl'tON AC UAx, lJ,"JGrrl.l
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7 X33. 011-
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tyl DATE f r'/c, L ( 744-~
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ueparunent ul cniviiutwitCIIt, I'lCdlttl, dilu 1`ldtUldl ('ICDUUIGCJ
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
JI ICCI.
Property ID:
Lot
File
Code:
Applicant:
Design Flow (.1949):
t4~Public [ j Individual
[e 'gerBoring
[wage
[ } Well
Pit
Industrial Process
i
t
r S
Date Evaluated:
Property Size:
6
Property Recorded:
( j Spring
[ J Other
[ j Cut
[ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
1
L'
E
.1940
Landscape
Position/..
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
A941 _
Consistence
Mineralogy
.1942.
Soil .
Wetness!'
Color
1943
Soil
Depth (IN.)
1956
Sapra'
Class
, . ,1944'
j: Resti
Horiz
Profile'
Class .
& LIAR
Z11r
a - y/
C- Y~
~ -0-
C~f
i r~ t~- Irc
r-.- f- J~,
1 Y Y3,,
~J .
0
21
~ rc f
ffl~
I
/n C_
s
S
0
Description
Available Space (.1945
System Type(s)
Site LTAR
Initial System Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: