IPACHTE# Harnett County Department of Public Health 2 5 2 g 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: ~J +t~~c>N ~~K..ct SUBDIVISION L.e..y re I a Q X LOT #U
NEW REPAIR ❑ EXPANSION ❑ Site improvements required prior to Construction Authorization Issuance:
Type of Structure: Q
Proposed Wastewater System Type: P, d►r~nt .c
Projected Daily Flow: 3 ~s GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 21o
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ublic ❑ Well Distance from well feet Permit valid for. ~ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: G~ o d~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department i ay guarantees a 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 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 ASO, .1
952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references i
nto this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Cy►~ r/a$.-CA d
o A. Ay PROPERTY LOCATION: c,2 7
Facility Type:
SUBDIVISION I- c, jre I
25"New ❑ Expansion ❑ Repair
/I¢ y LOT # '7 0-
Basement? ❑ Yes eNo Basemen
t Fixtures? ❑ Yes No
Type of Wastewater System** _ P~rv.
~ n Coy, y~•l
(Initial) Wastewater flow: J 610 GPD
(See note below, if applicable
rPZ t,~
p
c'~-~~~~~•~- (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size t ) c ~ o gallons
Exact length of each trench z o o feet
Trench Spacing: Feet on Center
Pump Tank Size CkZi is gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of- -7, y 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
inches below pipe
Conditions: r",t Al d t, e ~co e ¢ c,,S~ rtie
i 70
Aggregate Depth: 2- inches above pipe
2
1
- inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the speciIlWionr of this permit.
Owner/Legal Representative Signature: Date:
This Conttnirtinn Authnrivatinn it <uhi-t to my if A.
A.e ..h. .f.. :......JJ n-
- r r--•• - --6- 1„1 1-- nmwnimmn 3na11 nur ue uaimerred wnen mere is a mange in ownership of the site. This
Cnn<tmrtinn Authnri~arinn i< euh~urr m ~~,,,~f,,,~s w~.ti ,t .......:.:.....t i_.... n..i_ r-..--. r. •
- - • •-•••r•°••-. P -,-M 1- Lail a u nme wi Sewage nearmem and Disposal ano to the conditions of this sppermit At AIIALM )Ilt JKtILH
Authorized State Agen Date: +''?C 1,2
Construction Authorization Expiration Date: ~
a
HTE# CJ y - 5 = 2-k3TF Permit # 02 5-ZF V
Harnett County Department of F' iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION c~F e. LOT
Authorized State Agent: ~ L Date: G
J~p~.c h--LT,rL.t?o-~
U
~j
Q
1,2-
4 dXC-/j4,eXf r- Zep CL/
rt! C,-•. 64-
p c-k cs~y-l. -c
v, t, -f~k ,czlr
9f-,
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: [Public Individual ( ) Well Spring [ j Other
Evaluation Method: [ K~ uger Boring [ ]Pit [ ] Cut
Type of Wastewater: [,]Sewage [ ] Industrial Process [ ] Mixed
IP
R
o
F
SOIL
MORPHOLOGY
.1941
ROFI
OTHER;
LE FACTO
S
1
L
E
#
' .1940
Landscape
Position .
Slope%
J~^
Horizon
Depth
(IN.)'
194i
Structure/
Texture
1941 '
Consistence
Mineral
1942.
Soil
Wetness/-
Color
1943
Soil
Depth (IN.)
1956
Saproa'
Class
1944
Restr
- Noriz
Profile
Class
& LTAR
L
V4 [d
111
Description
Initial System
Repair System
Available Space (.1945)
_1_Z
System Type(s)
Cry
9 Zf
Site LTAR
C)
Other Factors (.1946):
Site Classification (.1948):/
Evaluated By:
Others Present: G~
,oge and other grading ect.)occur
ti
).7a Y
.r
°r
90
y 2 - 5£Ptw
9 No
94 ?bE ec
~d )1
0~11b I
r, 4,
24
C65 1
c7 6 'A
_ N 37.43'2,..
344• 167.55'
176.47.
20'D.E. u
yb
.74
s
se
720ac
0
%0
.
O.S.S.E.I
'
5 97 3
S.E
LOT 74
1
100
'
192.10'
10
N 39.29'02"E 20'O.E. • S
~a. e1 71 0. .S.E.III g S.E
s LOT 71
0.5 c. SJ3 R,
O.S.S.E.IiI~ od / H ti~ D@
cse \ 70 S.E
dd,,. 0.52 LOT 70
/
0 68 - q in IV
a $ 0.656ac. y.. 1 a ~n4i o
sla S.E ,
LOT 69
0. S.E.VI a S
N ~ 69
H 0.873 -
tie ;sa O.S.S.E.IV
J) i
S.E H / / J
LOT 60
, % 3i i