IPACHTE# 0l- J° -1-2-10'Z!
Harnett County Department of Public Health 25280
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: R r-, A;.
ISSUED TO: t, 0,V 0'#-k ~ t c~'Z I ~ Ste, SUBDIVISION I- f A + '-k-, it LOT #
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ` 119
Proposed Wastewater System Type: v ? 4c 5~~"a ~i- c .
Projected Daily flow: 216 GPD~ -
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Plo
Pump Required: E es ❑ No ❑ May be required ba d on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 7 well Distance from well / Cc feet Permit valid for. 2 -ivv years
Permit conditions: ❑ No expiration
Authorized State Agent:: owe /itifc~ie.,•, S- Date: Gc y 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 layout.
ISSUED T0: C,.1tts f i II r PROPERTY LOCATION: &
SUBDIVISION L~ifLil: /S iLOT # Z
Facility Type: IK-New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** t) -f
~3'1L (Initial) Wastewater Flow: t GPD
(See note below, if applicable rr
r ~p 4- dl) (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size N C, gallons Exact length of each trench '7 J"' feet
Pump Tank Size /tic C. gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. / - inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
r-Q ~S
Qt
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications o/this permit
Owner/legal Representative Signature: Date:
11115 cumnuuion Rumonzanon is suoject to revourion it the site plan, plat, or the intended use changes. the lonstruchon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to con a with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permi[ SEE ATTACHED SITE SKETCH
Authorized State
f . Date: L l.Z
Construction Authorization Expiration Date: L'Lq/A-V f
H T E # o~ - 5 = 2. 1 j Permit # 3-`-1Z rl~l
Harnett County DePartlnent of Fiblic Health
AP slietcll
/ PROPERTY LOCATON:
ISSUED T0: SUBDIVISION ttL ~a f cG~ LOT # d-
Authorized State Ageur. f-~ Date: ~c 5
1 its
I`~ ~ ~ E 1S ~
C- I d /
f
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: [ j Public Individual [ j Well (]Spring [ ]Other
Evaluation Method: [ Jt4ger Boring [ ] Pit Cut
Type of Wastewater: 1141Sewage [ ] Industrial Process (J Mixed
P
R
0
SOIL MORPHOLOGY
"i OTHER- .
F
1
1941
PROFILE FACTORS
1
L
.
940
Landscape
Horizon
.1941
'
1941
~
:
.1942,-',
t' Sod
i~ 1943
856
, 1944`
r
Profile r~
E
#
Position/
Slope%
Depth
(IN.)
Structural
Texture
Consistence ` .
:
Mineralogy
. Wetness/
.
C
l
;
Sod'
. Sapb'
`
Restr;
Cta
o
or
Depth IN.)
- Class .
Horiz-
31,TAR
C_ 'j-4
_
f
- ayk
gk fC
~ 1"
Y/
of
f
-I Y
G
4 &C
a ~3
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i rc/
srf~
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rid l
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~
' J-4 z71,
~
,
.
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
ISite LTAR
e ~r
Other Factors (.1946):
Site Classification (.1948): f
Evaluated Byj
Others Present: 6