IPACHTE#07-~= ZZ7110 Harnett County Department of Public Health 2 5 4 3 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
® PROPERTY LOCATION: Z/ % a
ISSUED T0: 1 e~ Cz~i~SGtI~ SUBDIVISION LOT # 3
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ So n5 t.Jrit, H
Proposed Wastewater System Type: ZS`lD2G-1~V~7-Ll3
Projected Daily Flow: 366 GPD
Number of bedrooms: Number of Occupants: G max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 2/M aa e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L.1 Public [I Well Distance from well feet Permit valid for. L~J Five years
Permit conditions: ❑ No expiration
Authorized State Ag G/ Date: I - /7- D 9 SEE ATTACHED SITE SKETCH
The issuance of this permit a 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 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: A~WeAi PROPERTY LOCATION:.,SiZ/S66 155- 5/5 iZ'~
SUBDIVISION LOT # 3
Facility Type: I'X /New Expansion ❑ Repair
Basement? ❑ Yes 1~f No Basement Fixtures? ❑ Yes /No
Type of Wastewater System** F _ (initial) Wastewater Flow: 36.0 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size IOOU gallons Exact length of each trench / 75- feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover._ inches
Maximum Trench Depth of. _,~Xe ' 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 inches below pipe
Conditions:
Aggregate Depth: z inches above pipe
/Z inches total
**If applicable: J understand the ryftem type specified it di//erent from the type specified on the application. / accept the rpecificationr of this permit
Owner/legal Representative Signature: Date:
115 L-U-1-1 Numuntauen D wufeu to revocation n me site plan, plat, or the mtenaea use changes. ine Construction 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 Ag Date: f --17 61
Construction Authorization Expiration Date: -/7- 14'
HTE# o 9-5 -1 Z7/U Permit # Z 51/3 Z
Harnett County Depailment of Public Health
Site Sketch
PROPERTY LOCATON:O ~P~~uS iGfj
ISSUED TO: e c"(-I- - SUBDIVISION LOT #
Authorized State Age <2-~ Date: 9-~7 ' D 5
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Department of Environment, Health and Natural Resources Sheet: t
Division of Environmental Health Property 1D:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WAS'T'EWATER SYSTEM
Owner. Applicant: L 7,71v
Address: , G Date Evaluated:
Proposed Facility: Design Flow (.1949): ? Property Size:
Location of Site: Property Recorded:
Water Supply: c ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater. Q Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
L
1940
SOIL. MORPHOLOOY
.1941
OTHER
PROFILE FACTORS
E
#
L.andseape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Strucha d
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetness/
Color
.1943
Soil
Deptli IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Clan
& LTAR
J
1 qo
a io
SL
12W19
ID ya
SCE
R
qyw 7-
Z
L aj
14
sL
laG
6- yZ
K
c. z$ 1 o 15C.
yy1SCL Vlams 1
Desaiption
Curial Repair 4 _ Other Factors (.1946):
B stem Site Classification (.1948 }
~e Evaluated By.
3 5.y Others Present: J