IPACNTE#,Q!J -s-_LZ, ~7 Harnett County Department of Public Health 25441
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
~t PROPERTY LOCATION:, /X/7_ ~ ~i ~ Ls~,L rte"
ISSUED TAY!/Li G 7" SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _:5F7
Proposed Wastewater System Type:
Projected Daily Flow: toW GPD
Number of bedrooms: Number of Occupants: 16 max
Basement ❑Yes No
Pump Required: ZYes ❑ No ❑ Me required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L,4 Public ❑ Well Distance from well feet Permit valid for. /Five years
Permit conditions: ❑ No expiration
ON 7D d,A) Sys
Authorized State Age Date: Z o - Zt- D 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 e site plan, pla4 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: ,CT12C (~:e PROPERTY LOCATION: ;;eZ/y/7 l
SUBDIVISION 64-k,69Ca.4) LOT #
Facility Type: 3F~ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** Z& tr n< 45 Z-5% (Initial) Wastewater Flow: 6627 GPD
(See note below, if applicable
17:2%w ka (Repair)
Installation Requirements/Conditions
Numbe of trenches 3
Septic Tank Size 1Z00
gallons
Exact length of each trench 125 feet
Pump Tank Size 1 00 a
gallons
Trenches shall be installed on contour at a
-3 %y ✓ 4a
2.,~~ t
~P y
Maximum Trench Depth of: Z• o winches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
ft. TDH vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
2 inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specipcationa of thl~permit
Owner/Legal Representative Signature: Date:
..i~ ~u~ ~ are , -j- ru rc, a use va pian, prat, ur we mrenaea use changes. ine construction numoraanon snan 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 Agent P Date: 60 z/ - a y
Construction Authorization Expiration Date: / o Z / -
H T E # z--7 / 5~ 7 Permit # .Z57,VV1
Harnett County Departinent of 11 ~iblic Health.
Site Sketch
PROPERTY LOCATON:.S0/ 9// Z
ISSUED T0: (,~fLZL 6;/~ SUBDIVISION /
A!« j LOT #
Authorized State Agent. Date: /4 - Z~ - d
J i
in~ ,t6,cL rte,
Stns T~-x_.
6~ Sy `G ~yt y(V
`e
-
p a `
. ~
6'7-7
uepartment ul GII iwitsIICnI, nCdwl, d11U 14d1U161 r\CJUU1t Vb
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
JI 1"tt.
Property ID:
Lot #
File ft:
Code:
Applicant: Of. 5 Z7//S~7
5713A Date Evaluated:
l0
Design Flow(. 1949): h6t7 Property Size:
Property Recorded:
kJ-15ubiic (J Individual Well [ J Spring [ J Other
[ Auger Boring (j Pit [ j Cut
(.-e wage (J Industrial Process [ ] Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942 .
Soit
Wetness/'
Color , '
.1943
Sol
Depth IN.)
1956
Sapra
Class
.1944"
Restr
Horiz
Profile ,
Class
& LTAR
I
L.
a- Zo
X_
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L dab
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sl
fen-
tz
Irk G sc
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LS
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r L
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19k C., n)S N
~
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Description
Initial Syste
Repair Syste
Available Space (.1945)
Ll~
System Type(s)
75VL~241130
Site LTAR
y
y
Other Factors (.1946):
Site Classification (.1940 /7.5
Evaluated By:
Others Present: