IPACHTE#d9-5 = Zz5-71/ Harnett County Department of Public Health 2 5 4 2 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIOknZJ~f/Z
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ISSUED TO Ti?L}ZA)r4 K 12- SUBDIVISION LOT #
NEW 21 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5 Fb
Proposed Wastewater System Type: CAr V"J-1D &.)4A
Projected Daily Flow: 2 go GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes ON
Pump Required: ❑Yes V No ❑ Map4e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent z Date: le-/D - D 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Ith 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 a 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, 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 TO: _ r )r1J 14-Z PROPERTY LOCATION: _VZ1y1 Z r-Xe-
SUBDIVISION LOT #
Facility Type: S F New y Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** l" 0,--0 7/" 44 (Initial) Wastewater Flow: -2p GPD
(See note below, if applicable
-2b0V crJ T7'4J!14 (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size /'O oy gallons Exact length of each trench / Z O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Zlo - 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)
61 inches below pipe
Aggregate Depth: 2 inches above pipe
/Z- inches total
**If applicable: / understand the system type _rpecified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
- • I via « F-il Flat m we uueoueu we changes. lne construaion nutnonzauon snail 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 t:~ Date: /b d
Construction Authorization Expiration Date: -
HTE# Permit # 1~S~Z 3
Harnett County Department of llablis Health
Site ketch
PROPERTY LOCATON:.SZ/y/Z ,ors ID
ISSUED T0: SUBDIVISION LOT
Authorized State Ag Date: (9"l0 "O c7
'5-11
~iZ 1112 C14/2ZY77j / -r,-47- /Zt)
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Varulmllt ul cmu01111%tut, rlttettu, drlu VURWldl r%VbUUltdil Property ID:
vision of Environmental Health lot ft
n-site Wastewater Section File;
SOILSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Applicant:
47:r-7Y
5-
Owner:
Date Evaluated:
Address:
ilit
:
p
Design Flow (.1949):
z K d
property Size:
d
d
y
roposed Fac
:
e
Property Recor
Location of Site:
I I'Pubfie I) Individual
Well
Spring
(j Other
Water Supply:
'
Pit
Cut
Evaluation Method:
Auger Boring
(
-
Industrial Pnxess
Mixed
I )
Type of Wastewater.
I
! iewage
R SOIL MORPHOLOGY
.1941
F
1
.1940
1 .
r
L
Landscape
Hotwn
.1941
F.
PosidoM
D"M
Sbuchmal
S
IN.
Texture
6-jq
V
4-
Z
J(,•
I
X IdX
.1941
Conalstarrce
f+ irwelo
-6"e- eogirj
r--
OTHER
PROFILE FAG'1
.1942 .
Soi 1943
wat read So9
Color N
1 .19" Praft
Sol". 1 Rests- Cie"
a - • ' s r rsa
Y
?,;yd,
-3.<'
13 I Z~° z - 'yz
yl L-,A
/s' L
L
C,
Fw
-'7-
3 s
Description initial S st Re al stem Other Factors (.1946):
Available S ace (.1943) Site Classification (.1948):
- _ Evaluated 9y: I/
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