IPACHTE# Uy -s = ZZSb Harnett County Department of Public Health 2 5 4 3 Q
Improvement Permit
A building permit cannot be issued with only an Improvement Pe it
PROPERTY LOCATION:,-Y2/'~772l>`~+z /L6
ISSUED TO- Zd- 1i-y#',-V D/K- Z;-Y- SUBDIVISION ✓ecsa~l.•c_ LOT # /d
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: $Fb
Proposed Wastewater System Type: ?5'VS Q~~ o TV4At'--
Projected Daily Flow: 3fav GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No LZ_M" required based on final location and elevations of facilities Z Five of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet Permit valid for IQ Five years
Permit conditions: ❑ No expiration
Authorized State Ag - Date: S_ Z -dg SEE ATTACHED SITE SKETCH
The issuance of this permit by t alth 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 t 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: ~ 4 !4-r~ -rJC- PROPERTY LOCATION: 10.7 Rh.
SUBDIVISION /7Z✓h _ e LOT # n
Facility Type: Z /New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ZNo
Type of Wastewater System- 25°16 tZL~(IC~~J (Azz4oTE->y3 7th. 4,- (Initial) Wastewater Flow: X3(00 GPD
(See note below, if applicable
Mp AZ W10 (Repair)
Installation Requirements/Conditions Number of trench s - 4
Septic Tank Size 1606 gallons Exact length of each trench too -0 s" feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of. 20 > /S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: _7 Feet on Center
Soil Cover. !~inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
<r inches below pipe
Z inches above pipe
/L inches total
*If applicable: /understand the system type specified is different fiom the type specified on the app&dtion. / accept the .rpecificationr o/ thin permit.
Owner/Legal Representative Signature: Date:
„ -J- w ...u.auun n ure mne plan, prat, or me mcenaeh use changes. ine construction putuonzation strait 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 permit SEE ATTACHED SITE SKETCH
J~
Authorized State Ag t: Date: ' Z. - 07
Construction Authorization Expiration Date: T- z 91
HTE# 22S767 Permit # a2 S;7 13 n
Harnett Connty Departinent of F' blic health
Site Sketch
PROPERTY LOCATON:JK ZY-- ,a~~~*-•Q 'M
ISSUED TO: INA r,C SUBDIVISION Z:ncZe s6n-f- LOT #
Authorized State Age Date: 7- Z -0 C1-w-elet tz&) R
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Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
01 It:e1.
Property ID:
Lot
File
Code:
Applicant: Z 25-Z) 7
Date Evaluated: 7- "
5 G~ Design Flow (.1949): 36c Property Size:
Property Recorded:
( Public (J Individual (J Well [ j Spring (j Other
( auger Boring (J Pit (j Cut
( wage [ J Industrial Process [ j Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
1941
Structural
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/'
Color
.1943
So#
Depth IN.)
.056
Sapra
Class
.1944:
I" Restr
Horiz
Profile ;
Class
3 LTAR
r
L
j'
a " lZ
Sc.
.o S rtn
&W_
.
b
L
~rsC P3ri ~
o - 9 a
so-
ritr / S . P.
30' 1 7.5 N
L 106
>-/L
L
17C. t` 3A
3
IZ-
L Zr3`~
D -/Z
SL
frL ~31~
1Z_
6-m
SL
GrL NsAP
H
Description
Initial Syst
.qm
Repair S tem
Available Space (.1945)
System Type(s)
ZS~~
Site LTAR
~7
3
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: