IPACHTE#-0? -s---2Z5-4 3 Harnett County Department of Public Health 2 5 4 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_yc/VfZ
ISSUED T!/, COA t7L' SUBDIVISION /11LS .!/1snJ T LOT #
NEW C~ REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F~
Proposed Wastewater System Type: COUVerynff-'3 "
Projected Daily Flow: ~f S d GPD
Number of bedrooms: L- Number of Occupants: max
Basement ❑Yes 2 "No
~ Z
Pump Required: ❑Yes ❑ No 17 XPu'blic required based on final location and elevations of facilities
Type of Water Supply: ❑ Community El Well Distance from well feet Permit valid for. L- Five years
Permit conditions: ❑ No expiration
Authorized State Agen : Z Date: -5-4,'_ (o - d 2 SEE ATTACHED SITE SKETCH
The issuance of this permit b al 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 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 TO: CA1AV 14'e"' .l 247,4 PROPERTY LOCATION: .5Z/yI z
SUBDIVISION 51145 s6'!-f,-15N LOT # 2-
Facility Type: L1 New ❑ ~ Expansion ❑ Repair
Basement? El Yes N~f' oBasement Fixtures? ❑ Yes IQ No
Type of Wastewater System** C(J>'3 d C-'.) r Lff (Initial) Wastewater Flow: 4~8 GPD
(See note below, if applicable
V ej TL ,nom (Repair)
Installation Requirements/Conditions Number of trenches V
Septic Tank Size 17- I> 0 gallons Exact length of each trench /ob feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- .7lo'-D 1 P" 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. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
_ 1 inches below pipe
2 inches above pipe
17 inches total
*If applicable: / uaderrtand the , M type specified it different from the type specified on the application. / accept the spec1T1wioar of this permit.
Owner/Legal Representative Signature: Date:
-,1,.1,.a.- " -J", - --o- u~c as vw" pm, or tire nuenueu use changes. Ine lopStruction Authorization shan not he 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 Disoosal and to the conditions of this permit %F ATTACHED UTF SKETCH
Authorized State ent:
Date:
Construction Authorization Expiration Date: B
HTE# d°1- 5'- Z 2,5-17 Permit # -,,2 5 y~2
Harnett Connty Department of 1'i-tblic Health
ite ketch
PROPERTY LOCATON:S/0/1 /Z cjt. ,(Z.a Za.
ISSUED TO: SUBDIVISION i; !lL"S ~Td/t $z.1 LOT # .Z
Authorized State Age 2~ Date: -b d s
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Property ID:
)Ivision of Environmental Health
Lot #
On-site Wastewater Section
File
SOILSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM[
Applicant:
22"J
Owner:
Date Evaluated:
Address:
Design Flow (.1949):
'/d a
Property Size:
Proposed Facility:
Property Recorded:
Location of Site:
l
li~bllc (I Individual
(
) Well
Spring Other
y:
Water Supp
d
[-)-Auger Boring
(j Pit
Cut
[ )
:
Evaluation Metho
[ I Industrial Process
Mixed
Type of Wastewater: [ I,Sewage
P
R
SOIL MORPHOLOGY
OTHER
OT
0
PROFILE FACTORS
.1941
F
942
1940
H
i
1941
.1941
.1
Sol
I
.1943
.19"
.194 '
Profile ,
L
E
Landscape
Posillon/
or
zon
D
epth
.
Sbucpud
Consistence
web""W
Sol
)
th IN
De
Sspra
Clan
Re*.
Hoch
Cis"
a LTAR
#
e%
Slo
S K
IN
Texhue
Mineralogy
Cow
.
p
p
.
v - 3s
5~
a P
i
t 3
3- -
fPL
0- 2-f SL
2Y -K 5c-~_ vo -
( b -12 L ~r~C a1.SiJ~
27 -&A i.. C>. G
Description
Initial S st
Repair stem
Available Space (.1945)
S stem Type(s)
~u _t6
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: j
nlhnre 0-ant-