IPACHTE# 09--x- 2291i Harnett County Department of Public Health 2 5 4 4 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION; Vt //Pj /eec
ISSUED TO: SUBDIVISION LOT # !5- 2
NEW C2-'- REPA14 ❑ XPANSION ❑ rte Improvements required prior to nstruction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25Z~ 2I'~ C724-)J
Projected Daily Flow: La[~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes I~ No
Pump Required: ❑Yes ❑ No Z e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Id Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
L!f Five years
❑ No expiration
Authorized State Age t' Date: /U -76 -eji SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 e 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: T!L lS~~~ ~✓~c
1) SUBDIVISION S d LOT # 5_
Facility Type: 5f'~ 2r/New Expansion Repair
Basement? ❑ Yes 2 No Basement Fixtures? ❑ Yes Lit No
Type of Wastewater System** Z S°~o zzem 6ZD 3~.~„ (Initial) Wastewater Flow: 3 4a,0 GPD
(See note below, if applicable
Z. 4_egh&1z " (Repair)
Installation Requirements/Conditions Number/ of trenches -
Septic Tank Size 1Da t~) gallons Exact length of each trench -L)_ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: T inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
_ inches below pipe
Z inches above pipe
Z- inches total
**If applicable: l underftand the system type rpeciped it different from the type speciped on the application. /accept the .rpecificationr 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. SEE ATTACHED SITE SKETCH
Authorized State A ~
Date: lD -26 -e l
Construction Authorization Expiration Date: ra - z 6 -/y
HTE# Dpi - S / Permit # ~ Sy'/ V
Harnett County Depar-tinent of 1_'ublic Health
Site Sketch
PROPERTY LOCATON:-,W/!V/9 • d~yL /Zo
ISSUED T0: ff/l 2 K/ /J 5 y SUBDIVISION LOT # 3-2-`
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Authorized State Agen : /Z Date: /a -Z !9 - D S
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOILISITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner- Applicm: zz ~L/ 16-A
Address: Date Evaluated: - 2v - eV-
Proposed Facility: ~ Design Flow (.1949): 34-6 Property Size:
Location of Site: Property Recorded:
Water Supply: Mpub& [I Individual -1 Well
❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ cut
Type of Wastewater ❑ Sewage ❑ Industrial Process ❑ Mixed
R
O
F
SOIL MORPHOLOGY
OTHER
I
1940
.1941
PROFILE FACTORS
L
E
#
L.m Wscape
Position/
Slope %
Horizon
Depth
(110
.1941
Structured
Texure
.1941
Considance
Minerab
.1941
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sspro
Class
.1944
Rest
Horiz
Profile
Class
& LTAR
1
L
I
s/_.
Z:::4 1Z - I.- fP
41
2
4
o Z 8
6 P
zs -
.3
C
o ~s"
f~11 G~-h~3r1Y~
j9
scL
~ ~~5t
/7- YlI
1" 13~~5•
fig"
•
14 -7.
v
Description
Initial
Repair SY
Other Factors (.1946):
s 'tQA1
Site Classifi
ti
1948
P
S
AvaiLWe 3 c
1943
ca
on
J
~
e .
l
a
e LI
Eva
uated
Sit
AR
Others Present:
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