IPACHTE# 09-S- ZZ305- Harnett County Department of Public Health 25421
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: rJ cf Z l h}
ISSUED TO• SUBDIVISION AA ,,,,0r,4- LOT # _2.__
NEW REPAIR ❑ EXPA SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ` 1
Proposed Wastewater System Type: t►~i.ri ty Q
Projected Daily Flow: 360 GPD
Number of bedrooms: -~3 Number of Occupants: max
Basement ❑Yes Irl No
Pump Required: ❑Yes ❑ No Ze required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
IQ Five years
❑ No expiration
Authorized State Age U Date: 27-- d f' SEE ATTACHED SITE SKETCH
The issuance of this permit b Health 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 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, ASS, .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: ~~y~ PROPERTY LOCATION: fU
SUBDIVISION LOT # ?
ZZ Facility Type: J New ❑ ~cpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes No
Type of Wastewater System" ~j'~J[,~►J ~ 7y~,~ ~ (Initial) Wastewater Flow: 3 (O GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size / D0 b gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. Z(a->1,9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. _ a 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 system type specified is different from the type specified on the appliWion. /accept the rpecilcatians of thi permit
Owner/Legal Representative Signature: Date:
This Construction Authoriratinn is mhinrt rn rovnnrinn if rho it. n1- miler - rhn m.e,.a°a TG. r
_..b_...... 111.11 11- - < < , a smoge m uwnersmp of me site. ims
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 Age v( Date: -7 Z? ^ b`,7
Construction Authorization Expiration Date: -7 - Z-1- I `f
HTE# 01 - 57 -Z2.3$S Permit # .251/2 /
Ha rnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:A)4 Z16 A)
ISSUED TO: 6ozf~ SUBDIVISION /lr ts~~ 4 Part Xdg LOT # Z
Authorized State Age Date: 7-27- 07
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Division of Environmental Health
On-site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
JI MUt.
Property ID:
Lot
File
Code:
Applicant:
Design Flow (.1949): c3&-e)
[ 1"Pubilc (J individual Well
[ 4'Auger Boring Pit
[sewage Industrial Process
7-1y -`7 -zc)
Date Evaluated:
7-- Z! z3
Property Size:
2~,
Property Recorded:
[ J Spring
[ I Other
[ ) Cut
[ ) Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
6
.1940
Landscape
Position/
S 9L
Horizon
Depth
IN.)
1941
Sbuahueli'
Texture
.1941
Consistence
Mlnerak)gy
.1942 .
Sol
Welled'
Color
.1943
Sow
Depth I1.)
1986
Saprv
Cuss
.19"
Re*
Hoch
Prdlle ,
Clan
& LTAR
r
0
SCIL
r___ b-.
q
o Z
st,
/ N ,vF'
Description
Initial S ste
Repai ystem
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948): CD
Evaluated By:
Others Present: