IPACHTE#01- S - 2 7-&0-5- Harnett County Department of Public Health 2 5 4 2 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION/~d/ /7b
ISSUED i0 f tli?A~SS SUBDIVISION 3AX&Z LOT #
NEW R AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MIA Y
Proposed Wastewater System Type: CO,#JVCeJ7-1
Projected Daily Flow: 144 6 GPD
Number of bedrooms: 35Number of Occupants: . 4, max
Basement ❑Yes E?" 'No
Pump Required: ❑Yes ❑ No L!f Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community (Q Public ❑ Well Distance from well feet Permit valid for. Io Five years
Permit conditions: ❑ No expiration
Authorized State A 'V l- ~ Date: it 8-13 -01 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 ff 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, J952, .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 T0: 1qA J3u2aFs PROPERTY LOCATION: S2 /Y0 12ollZ.15 12b
SUBDIVISION A9A~e--,C LOT # 1
Facility Type: /New xpansion ❑ Repair
Basement? ❑ Yes No Basement FixtgCes? ❑l Yes No
Type of Wastewater System** n,# (Initial) Wastewater Flow: :?6d GPD
(See note below, if applicable
11G
r~ (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size /000 gallons
Exact length of each trench li" feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZS 11 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: _ 9 Feet on Center
Soil Cover _ 9 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 rl different from the type specified on the application. / accept the speci6c3tionr of this permit.
Owner/Legal Representative Signature: Date:
i~ -11uuUWn NuenonL3uun is sucilat to revocation it me site plan, piac, or the intenaea use oranges. the Construction authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authonzation 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 Ag : Date:
Construction Authorization Expiration Date: -1
HTE# 69-5 - 2Z 605- Permit # 40e-75Y2 q
Harnett County Department of M- blic Health
Site Sketch
PROPERTY LOCATON:~Ly_ U / Z0//--Z5 h~ lZ D
ISSUED TO: vrr 5 SUBDIVISION Agt&< LOT #
Authorized State Ag (e Date: b' - l 3 - 0,3
~2 lyol /2v/!< a s l Ad
lparUlitllll u) CIIVIIUIIIIItlIII, rWd1U1, d1iU 14d%U1dl r\4J,uU1LttZO
vision of Environmental Health
n-site Wastewater Section
SOtL.jSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
3roposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater.
JI ItStll.
Property ID:
Lot #1
File
Code:
a
Applicant:
Date Evaluated: S--/Z -vl
~~~1 Property Size:
~/,t1/►ttt' Design Flow (.1949): ~x~/
Property Recorded:
t~Pubfic t 1 Individual Wei ( ) Spring t l Other
( )Cut
huger Boring (j Pit Mixed
, Stec t) industrial Process t 1
R
0
SOIL MORPHOLOGY
1941
O
PROFIL
THER
E FACT
F
1
.1940
1941
1941
.1942 .
Sol.
.1943
`
E
PosftW
Depth
Sbucxal
Consletlence
VV
Color '
SoN
Depth
#
S
Texture
IZI n, 1 4- 41`2 5 . P" y2.,
15 1 n . 8 ~ tom- ,L~21
,ta
L
)9th t .194 ' PIVI N ,
SOPM i RAe. Clad
5
.3
W.3
Description Initial SySPA' Repair m Other Factors (.1946):
Space (.1948) Site Classification (.1948):
Available
Cdr - 3 Evaluated By: ` v