IPAC RHTE#M-S - 2Z~61,,Iz Harnett County Department of Public Health 2 5 4 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATMLM/Y!G /&t Cr 46
ISSUED T( 1~lll 2'C- SUBDIVISION LOT # _q
NEW ~ REPAIR ❑ EXPANSION ❑ Site Improvements ev ments required prior to Construction Authorization Issuance:
Type of Structure: Sfb
Proposed Wastewater System Type: Z59s, 1Y- b0c3f?.Q~ J* Af'--
Projected Daily Flow: q By GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Maybe required based on final location and elevations of facilities Z Five of Water Supply: ❑ Community CC" Public ❑ Well Distance from well feet Permit valid for: l~ Five years
Permit conditions: ❑ No expiration
Authorized State Agen Z Date: d S SEE ATTACHED SITE SKETCH
The issuance of this permit by th th 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, .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: D o rxA 131 lC -ni PROPERTY LOCATION: T_ IY14 14y /1
SUBDIVISION
LOT # 5l-"
Facility Type: New P Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L~1 No
Type of Wastewater System" 25'/% (2 - NCT4 )J ~~~~~rc~ mil) (Initial) Wastewater Flow: y8~ GPD
(See note below, if applicable *o1gor4-eo "
2,1501b t~ Cat Z61 ~ 14tTk- r)
Installation Requirements/Conditions Number of tenches Z
Septic Tank Size /'Zpo gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench Zoo feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ZG> inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: L inches above pipe
17- inches total
If applicable: /understand the t,r ste In type rpein ied it different from the type .rpeci6ed on the application. / accept the apeciFcationr of this permit.
Owner/Legal Representative Signature: Date:
„..~~~.,.a - o -J- w --u- n uM 'Re pFan, plat, or me imenaeu use cnanges. me tonstruUM Authorization span not be transterred 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 aermit. SEE ATTACHED SITE SKETCH
Authorized State Ag t: AW-L"?z Date: - D g
Construction Authorization Expiration Date: ! y
HTE# on- ~ - Z'Z4,><4o/2 Permit # 25`PZ`~
Harnett (county Depailment of hiblic Health
Site Sketch
,P t)
PROPERTY LOCATON;S<./y/(e tGn4:,4,
ISSUED TO: bU STg 1 13f&Xt3c--1t 2, SUBDIVISION J~(,ces k . LOT #
Authorized State Agent. ~ Date:
T" iW a
r-a-c ' 4- a ,f 14
TkA605 ,~,2 ---45,
C) rt Z
47g4( Gce5 h~ rL
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOILISITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 4?666
Address: Date Evaluated:
Proposed Facility: 6f'~O Design Flow (.1949): t lo Property 23 a
Location of Site: Size: Z .
Property Recorded:
Water Supply: tic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater Q Sewage ❑ Industrial Process ❑ Nfixe{
k
P
R
O
F
I
L
1940
L
d
SOEL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
E
#
em
toape
Position/
Slope %
Horizon
DqA
(In.)
.1941
strucaue/
Tmmrro
.1941
Consistence
Minsralo
.1942
Soil
Wetness/
Color
.1943
Soil
Deptli IN.
.1936
Salim
Class
.1944
Restr
Honz
Profile
Class
& LTAR
r-tt 6
S,
yy"
, 3s~
Z
L Z4
b - 8
SL
~S~IP
a° -spy
Sc'C~
`,6
3 L
G - yo c CJAl 011A, IL
36, I%.,-/ I I 1 1 -3
- - - - " 3 Other Factors (.1946):
Available Space .1943 S stem Site ClaSSification (.1948): ?'S
system hj*s Evaluated By:
Site LTAR Oam Present:
•3