IPACHTE# 09 -s 7 Harnett County Department of Public Health 2 5 4 3 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /Z#-Is/5 6W-iZ.rf4- /ZQ
ISSUED TO- 1e T 1760. 61,f SUBDIVISION LOT
NEW REPAIR ❑ EXPANSION J❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: tb
Proposed Wastewater System Type: Z5%,JZP-4~w cfzcs~3( CPVr, 6
Projected Daily flow: 3G,b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 21NO
Pump Required: ❑Yes ❑ No /e ee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L!( Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
L'1 Frve years
❑ No expiration
Authorized State AgenlL- Date: /Q -Z-,01 SEE ATTACHED SITE SKETCH
The issuance of this permit th ealth 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 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 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, AST .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 T0: % &-5 1Z4 ) PROPERTY LOCATION:
SUBDIVISION e LOT # 6,
Facility Type: 3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZSY'/ RYI)(1C170),~.5y~~•-~j{z~s,~o,~} (Initial) Wastewater Flow:.3/vD GPD
(See note below, if applicable L~)
15`/ /Z.~'~7n X77) pair)
Installation Requirements/(onditions Number f trenches 4V
Septic Tank Size /1304) gallons Exact length of each trench 1O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ,-ZIinches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
G inches below pipe
z inches above pipe
f Z. inches total
**If applicable: / understand the system type speciTed /s different from the type specified on the application. / accept the specill'=ionr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The 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 w ATTarm CITF UIPM4
Authorized State Agen Date: /U- 7 0
Construction Authorization Expiration Date: /D -7 l1
HTE# 09' - S-- ZZg S`} Permit #
Harnett County Department of M blic Health
Site Sketch
PROPERTY LOCATON:-~2/V1~'-~,e,~l
ISSUED TO: C`1Awle " / y SUBDIVISION , LOT # 4,
Authorized State Agen Date:
C,,~jo
-QZ
L-V
Y~)/L- 4
=7 ~l 7) e Z
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Z
sj~ iq,~ ~AL-))s c►r~ H 1 17-0
Department of Environment, Health and Natural Resources
Shed:
Division of Environmental Health
Prom, ID:
On-Site Wastewater Section
Lot
SOQdSITE EVALUATION
File
Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: Z2-1s3
Address: Date Evaluated: 76 -a S
Proposed Facility: :5~~ Design Flow (.1949): 364~ Property Size:
Location of Site: Prop" Recorded:
Water Supply: ❑ Individual ❑ Well ❑
9~~
Spring ❑ Other
Evaluation Method:
,Auger
Boring ❑ Pit ❑ Cut
Type of Wastewater
❑ Industrial Process ❑ Mixed
P
R
O
F SOEL MORPHOLOQY
OTHE
R
I .1940 .1941 PROFILE FACTORS
L. Lampe Horizon
.1941
E Position/ Depth .1941 .1941 Soil
# Slope % (In.) strucnnd C
i
.1943 .1936 .1944
Proms
ons
stence webmw
Texture Minaralo Color
soil sal" ReW
Clare Horiz
Class
as LIAR
Z ~ Y ~
v t3 D
SL
I~X., (~L ~I~
3 L-
a _,g
sue.
~ G-G,~rP
f~ - Y~ sue-
36
1
Descriphan ► Repair Other Factors (.1946):
Available 3 .1943 S Site Classification (.1948):
sysmin Evaluated HY;
a
Site LTAR Others Present: