IPACHTE# b9-s- ZZg/3 Harnett County Department of Public Health 25419
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-r'Z15'yo /110.» /e'4
ISSUED TO: D 7, C ~ e ~ SUBDIVISION v DMZ LOT
NEW C REPAIR ❑ EXPANSION ❑ Site Improv ments required prior to Construction Authorization Issuance:
Type of Structure: ► C) JS
Proposed Wastewater System Type: CC4ocs7-Ly),}4.4
Projected Daily flow: q go GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Z~~Public required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for LlFive years
Permit conditions: ❑ No expiration
Authorized State Agen z Date: '7 -/o ` d 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 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, .19% 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: -5~ /brefz5~rlf A//u PROPERTY LOCATION: ~,z/Syo /Zo.`r xze, iZ~
SUBDIVISION '[&A O LOT # Z
Facility Type: - ZNewExpansion ❑ Repair
Basement? ❑ Yes 27 No Basement Fixtures? ❑ Yes l!1 No
Type of Wastewater System** 0&) uc~ (Initial) Wastewater Flow: 5/,96 GPD
(See note below, if applicable
0" (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size / Z-6o gallons Exact length of each trench / 3' r feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z4," inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: 2 inches above pipe
/ Z inches total
**It applicable: l underrtand the 9' type speci>ied it different from the type specified on the application. / accept the .rpec1T1Qti017r of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
. ,U~tc.. ,O uwPnan- vnm the prurisima or me caws ano Rues For sewage treatment and Disposal and to the conditions of this permit Stt AI (ACHED SITE SKETCH
Authorized State A nt: Aj~' Date: 7-16-69
Construction Authorization Expiration Date: -7 -/d -t~
HTE# 01- S- Z 2q ! Permit # 15-`/ / 7
Harnett County? Department of liblic Health
Site Sketch
PROPERTY LOCATON:.sG15-y0
ISSUED TO: .5CO # 7 elms 5A Z P GC SUBDIVISION &LOT #
Authorized State Agen • Date: 7- z y V o S /
yt
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uepartmelll UI CIIVIIUIIIIIeIIt, nedlul, d11U Ivdluldl !\CJUUlt.
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater.
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
JI leel.
Property ID:
Lot
File
Code:
Applicant: ?,f /3
Date Evaluated: ? j-dS
Design Flow (.1949): Property Size:
Property Recorded:
[ ljp~ bllc (J Individual Well (J Spring [ J Other
[ I Auger Boring [ I Pit [ j Cut
[wage (J Industrial Process (J Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
I Texture
.1941
Consistence
Miners
.1942
Soli
WetneW
Color
.1943
Sol
Depth IN.)
.1956
Sapro
Class
I N4
Rests
Horiz
Profile ;
Class
3 LTAR
1
L zr
° 3D
SL
/L ">Z00
v
34) 4
-eta
SL
rx- C+~C ~Y,
V"'Yt4_
• ? r
4'1
I
y 6
o,Z z
4
- 6x
3
L
-IR
4
Z.,
rl
6_24
5 t-
G.L .QSri
~D
Description
Initial Syst
Repair ystem
Available Space (.1945)
System Type(s)
Site LTAR
-
Other Factors (.1946):
Site Classification (.1948):
Evaluated By;
Others Present: