IPACHTE#~}9_s zz~7Z Harnett County Department of Public Health 25431
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:...YL/7& W/9i%-J/2~6
ISSUED TO
ULO1"~ SUBDIVISION LOT #
A
NEW CZ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 34PO GPD
Number of bedrooms: Number of Occupants: fo max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ZMabe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
IQ Five years
❑ No expiration
Authorized State Agent r Date: IF /3 =65 SEE ATTACHED SITE SKETCH
The issuance of this permit
site t 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
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 taws 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: PROPERTY LOCATION: -<k/
SUBDIVISION LOT #
Facility Type: L~1 New Expansion ❑ Repair -70 Basement? ❑ Yes Ei~ No Basement Fixtures? ❑ Yes /No
Type of Wastewater System** ~ ZE J (Initial) Wastewater Flow: 3W GPD
(See note below, if applicable
z o'6/2ed?- ~(Repair)
Installation Requirements/Conditions Number of trenches 7-
Septic Tank Size 140v gallons Exact length of each trench 2 go feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of. Zo->t =/6'/ 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: h. TDH vs. GPM_ inches below pipe
f ' ~I / t r Aggregate Depth: Z inches above pipe
Conditions:
Z~ 7 ~p ~/li✓ b-r1c-g bC~7T174-l Z inches total
*If applicable: 1 understand the sy tem type specified is different from the type specified on the application. / accept the specilcations of this permit
Owner/Legal Representative Signature: Date:
TA:, r,...... .r , . . _
•._1-11-1- 11 « - ymn, F-, ul [[it nuenoea use changes. ine construction numonzanon snail not be transterreo when there is a change in ownership of the site. This
construction Aithonzation 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 Age / < Q-,✓ Date:
Construction Authorization Expiration Date:
4
HTE# zZ 77-Z Permit # --l ~5-'l 3/
Harnett (bounty Department of Public Health
Site Sketch
R~Q ERTY LOCATON: Jlf- 178e> 141R11,e-sJ In
ISSUED T0: ~i rl SUBDIVISION LOT #
Authorized State Agen Date: l d S
I-Lq
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I
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Zat, S2 1-788 , /Pff-1,)1"L6
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner- Applicant: D
Address: Date Evaluated: g ~Y~ S
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply. ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Fit ❑
Type of Wastewater ptige ❑ Industrial Process ❑
Sheet:
Property H):
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope 'N►
Horizon
Depth
(In.)
.1941
structure/
TO)dm
.1941
Consistence
Mineralogy
.1943
soil
watnew
Color
.1943
soil
DV&
.1936
sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
t
L y~~6
° ,lc f
5 t-
3
L. A
L
3
,5L
6„i,Jz< ,J
d .2 1
5c-
4-1 s.
y
c 011/0
o - q
rr
Y -3q
5,c -G
( 5.
Z'
-3
S.
~ s.°/
~ ~y
st_
C~a
- It
Description
Initial
s stoat
Repair System
Other Factors (.1946):
Site Classification :
Available Space .1943
B :
Evaluated ted I
slam a
a
Oth
P
t
Site LTAR
, 3
, i
resen
ers
: