IPACHTE# 01-5--27-7-73 Harnett County Department of Public Health 2 5 4 3 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION:S2/S/
ISSUED T0:A ( ~(G ~X,✓ ~s~ SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Si a Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes [?'No
Pump Required: ❑Yes ❑ No Z?4-e required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public El Well Distance from well feet Permit valid for. l~ Five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: q " Z / - 07 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 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, .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: ..W41-66 Gf-~IEZ,
SUBDIVISION l~lCo / LOT # 3
Facility Type: _ New ❑l
~ Expansion L7 Repair
Basement? ❑ Yes No Fixtures? ❑ Yes 12 No
Type of Wastewater System" )3 (Initial) Wastewater Flow: GPD
(See note below, if applicable 6
~ epair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1Z06 gallons Exact length of each trench - 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: JO / 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
Conditions:
inches below pipe
Aggregate Depth: 2 inches above pipe
/ Z-- inches total
**If applicable: / understand the system type specified is different from the type specified on the application, / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not ha tnndnrrnd who. th- , , A-. -hi .t rh. < e Th.~
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 A Date: -Z/ 09
Construction Authorization Expiration Date: 9 --Z/ - /IV
HTE# o9 -6- - 2Z 7 -7 3 Permit # Zs~Y 3 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATO /-'Sil 1-71 I-eA
ISSUED T0: l~i4/ /~f~,J,J6,.J SUBDIVISION LOT
Authorized State Ag /Zy
ACT Date:
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIIJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: Z'2 `7-7 3
Address: Date Evaluated: f 3 -os F-1 7-j 'j
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: lic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: 0s: ger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process ❑ Mixed
P
R
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F
I
1940
OUL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(110
.1941
Strucdud
Tex u e
.1941
Consistence
Mincnb
.1941
Soil
wetnew
Color
.1943
Soil
Depth IN.
.1936
sapro
Class
.1944
Reatr
Horiz
Profile
Clan
LTAR
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30 -Y3
-35'
Description
Initial
s 'teA1
Repair System
Other Factors (.19+36):
Site Classification (
19487 FS
Available Space .1945
.
Evaluated B
:
System TMKS)
y
Oth
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Site LTAR
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: