IPAC RHTE#01'--'5 - ZZ3.3:5 z Harnett County Department of Public Health 2 5 4 3 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
l PROPERTY LOCATION: -yQ b
ISSUED TSY' M/4,t 11-V l ✓cs`i,J > Co?57 ~i~c ra~'~.~ SUBDIVISION 4 . G . 12( ,t nJ~j__ ~ LOT #
NEW C7( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF A
Proposed Wastewater System Type: 215'•0/a~c)c.r`W-Q
Projected Daily Flow: y8a GPD
Number of bedrooms: Number of Occupants: 8 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 13 Ma e required b W' on final location and elevations of facilities
Type of Water Supply: ❑ Community Public 1?1 Well Distance from well /OO feet
Permit conditions:
Permit valid for.
Z Five years
❑ No expiration
Authorized State Agent> ~r c;L: hh;i 5P~ Date: /D - (I - p ~ SEE ATTACHED SITE SKETCH
The issuance of this permit b}~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
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 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, .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: O/Ja!~ PROPERTY LOCATION: S)Z /SZ3 !l vr..<~_ _
SUBDIVISION kr - ~~l.-) LOT #
Facility Type: I? New ~ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes LCl No
Type of Wastewater System** 25~°/D /Af~,rZ1lY, LIGG~e~J 7r~~ $r SaL (Initial) Wastewater flow: 4leo GPD
(See note below, if applicable
25-OZ 46- 3, I'-P (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1200 gallons Exact length of each trench /oJ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G inches
Maximum Trench Depth of: 24 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 4y inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: /L inches total
**If applicable: / understand the system type specified /s different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
~U a „ -)111 w in.oinuun a we sne plan, piar, or me mrenoea use cnanges. ine tonstrucnon Authonzation 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:
Construction Authorization Expiration Date: is -6-/~
HTE# Oq - S - zZ 33f> iZ Permit # 25'113E
Harnett County Department of h blic Health
Site sketch
ry, _ PROPERTY LOCATON:.4C /S. 3 Bid/ i4e
ISSUED TO: % *:-?AQ-! 11 </yLj, j),) SUBDIVISION 4- C. 9o u i ra a,) LOT #
Authorized State Agent: Date: / 0 - 6 - O
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SR /371,3 /3,r-c/ R,1
J
epartment of Environment, Health, and Natural Resources
!vision of Environmental Health
n-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
roposed Facility:
cation of Site:
Eater Supply:
valuation Method:
ype of Wastewater:
Sheet:
Property ID:,
Lot
File
Code:
Applicant:
Design Flow (.1949): TO 6
[ lic [ ] Individual [ ] Well
[ ger Boring [ ] Pit
[ wage [ ] Ind,;strial Process
b)Z-Date Evaluated: /6'Z 5- --(1 f
Property Size:
Property Recorded:
[ ] Spring [ j Other
[ ] Cut
Mixed
301L MORPHOLOGY-
.1941' .
OTHER
PROFILE FACTORS
`
.1940
Landscape,
Position/
Slope%
}-'~ri~n
D-ptn
;iN
1;.31
Stri .tare/
ife
-.1941
C^r .~t~rce =
-1942,
Soil
W tnessl
Cc I,-
9 3
so :l -
UcI)fh (IN.)
19~c.
Sap[ i
Clas_
1:+44
R._tr
Hoy iz
Proti~
Class "
<AR
_
L
3v
Sc. Gy
L
2g
.S~'
GEC N3r/P
r
Zia" -If
L
s.~~
Description
Initial System
Repair S stem
available Space (.1945)
System Type(s)
'ite LTAR
Other Factors (.1946):
Site Classification (.1948): l7'S
Evaluated By:
J
Others Present: