IPACHTE# vg -s-- zf~, Harnett County Department of Public Health 2 5 41 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATION:-ve /y37 /~c►~/.~, cQ i2/~
ISSUED TQt SUBDIVISION %2~r v
LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F1J
Proposed Wastewater System Type:
Projected Daily Flow: 360 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Z~~Pblic required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for. 2-Five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: 6 -I Y- 0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit byaealth 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 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, .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:-3heAZseJ,_,/rrr„ 2) n- z.,, z:. PROPERTY LOCATION:
SUBDIVISION ~'air,~s LOT #
Facility Type: 5 F►_ _ New xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes AN Ao
Type of Wastewater System' C6~)U,E/li T J)~ z4-/ (Initial) Wastewater Flow: 3GD GPD
(See note below, if applicable
Z '5'%, MQC.TLQ -~J LI+C. rCi))I (Repair)
Installation Requirements/Conditions Number of trenches 4_
Septic Tank Size 1000 gallons Exact length of each trench SO feet
Pump Tank Size 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
Conditions:
Trench Spacing: _Z_ Feet on Center
Soil Cover: 6, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
/Z_ inches total
~~If applicable: /understand the ryatem type fpecified it different from the type specified on the app/ication. /accept the .rpecificationr o/this permit
Owner/Legal Representative Signature: Date:
ino wuDuuuwn nuumnraumi is suulect to revocation IT me site plan, plat, or toe mtenoea use changes. the Construction 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 SITE SKETCH
Authorized State A Date: - z 1--0 9
Construction Authorization Expiration Date: 4r -2'-f-/ r!
HTE# 41 ' Z ! J91 Permit # Z S Y l5
Harnett County Department of Public Health
Site sketch
PROPERTY IOCATON:.Lc, W7 X3 a!/~ 2~1
ISSUED TO: A45,>.. bh-- iG SUBDIVISION /*ZrLjc -crkn, LOT # _
Authorized State Agen ~ a---s Date: 4~ ` Z-~t " o
a
a
ueparlil em Ui c11V -11110111. rlCdIU), d11U I4dWId1 r\COVUII Ub
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
04 ICGI.
Property ID:
Lot
File
Code:
Applicant: l 1 799
Date Evaluated: (fo- Z Z _
Design Flow (.1949): 3460 Property Size:
Property Recorded:
( Publlc individual ( )Well [ J Spring [ j Other
( l A ger Boring [ J Pit [ ] Cut
Sewage industrial Process [ ] Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
tt
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
.1941
Consistence
Mlineralogy
.1942 .
Soil
Wetness/'
Color
AM
Soil
Depth IN.)
1956
Sapm
Class
; .1944;
Rests
Florin
Profile
Cuss
& LTAR
° - ~s
IrYL CA P.> 0 P
I
L
6
I S - y o
scc. ~ I~•-
I~tr>v._.~ X~- ~ •
3l.`' P'
5
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nrv~iP
4-
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3L' ' ` y~`
y 3 5/
Description
Initial Syst m
Repair ystem
Available Space (.1945)
System Type(s)
Co-)
Other Factors (.1946):
Site Classification (.1948): I
Evaluated By:
Othare PrP.SP.nt'