IPAC RHTE#6g -S"- /Z yPfZ
Harnett County Department of Public Health 2 5 4 2 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONU1r37 l «
ISSUED TO SUBDIVISION LOT # Z
NEW REPAIR ❑ EXPANSION ❑ Site Improv ents required prior to Construction Authorization Issuance:
Type of Structure: S v~
Proposed Wastewater System Type:
Projected Daily flow: 17-0 GPD
Number of bedrooms: - - Number of Occupants: max
Basement []Yes In"No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No required based on final location and elevations of facilities
El Community IaPublic ❑ Well Distance from well feet
Permit valid for.
0 -five years
❑ No expiration
Authorized State Ag
6'0 G Date:5 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 i 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, AM, .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: ,fzc~ PROPERTY LOCATION: 1'5-3 Z s/~
SUBDIVISION 3r~•tc~ic~ r LOT # 2
Facility Type: New xpansion ❑ Rep~ir
Basement? ❑ Yes No Basement Fixtures? El Yes No
Type of Wastewater System** 25~/o/ZEr>vtazu~J ash- (Initial) Wastewater Flow: '!ZQ GPD
(See note below, if applicable
fb IZ67b JaP---(Repair)
Installation Requirements/Conditions Number of trenches Z_
Septic Tank Size 0&0 gallons Exact length of each trench S-b feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. Z ~ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM G inches below pipe
Conditions:
Aggregate Depth: Z inches above pipe
1Z inches total
**If applicable: / understand the system type specified is different from the type specified on the applic3vi n. / accept the rpecifcdtions ofthir permit
Owner/Legal Representative Signature: Date:
.~--k-, -J", 'muLfuu n lire sue plan, purr, or me mrenaeo use cnanges. ine tonstructmn authorization shall 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 Agen Date: 8 -1,9-b J
Construction Authorization Expiration Date: $ - / ° -l
HTE# -5 -/93 `lb'k Permit # e5-lY27
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:Si2/5"3Z Z4,3cq~ /t/}
ISSUED T0: jl?A~ ~r1L i4 , /lit, SUBDIVISION ai~rrfi,~ LOT # z _
Authorized State Agen 922~ C+ ~,-z~ Date: o 5
Z*j
ER~~S ~~ll m
C L SSv ,E i~)
110
Leparll ium UI CIIV iI UIIIIICIIL, rledltll, d11U IVdtUldl neJUUlUCJ 131 Ut:t.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILrSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: r~
Proposed Facility: =Ww"'Z Design Flow (.1949):
Location of Site:
Water Supply: OIndividual Well
Evaluation Method: ( Auger Boring O Pit
Type of Wastewater: (4ewage ( I Industrial Process
/~3y~ -~c
la
Date Evaluated: d % 7"C7 S
Property Size:
Property Recorded:
[ J Spring [ J Other
(J Cut
( j Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soo
Wetness/,
Color
.1943
Soft
Depth (IN.)
.1956
Sam
Class
; .1944
Restr
Horn
Profile
Class
& LTAR
,
c • ZI
.5.
A 3lw R
Z
3°~
L
o
SL
G~La•~
r
-
Y!g
sc~
`
'
° -
3
t
_
10 - y?
4 ~O
Description
Initial Syst
Repair ystem
Available Space (.1945)
1/
/Z
System Type(s)
Site LTAR
Other Factors (.1946)
Site Classification (.1948):
Evaluated By: ~ L--_-
Others Present: