IPACHTE# d9 -5 - Z Z7 z z Harnett County Department of Public Health 2 5 4 4 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
#17J, PROPERTY LOCATION: tk- /y/S /7, Jam, ~
ISSUED TO• K .SUS 4S SUBDIVISION LOT # ~
NEW REP EJ EXPANSION El Ite Improvements required pri to Construction Authorizatron Issuance:
Type of Structure:
Proposed Wastewater System Type: '~C T 2157.)
Projected Daily Flow: 36 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Id Ma a required based on final location and elevations of facilities Z Five of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. IQ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:C ,~r' te: M ` Z/ -y 5 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 if t 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: lS~ ,~~ys PROPERTY LOCATION: Z511h ,
SUBDIVISION LOT
Facility Type:
_ Lit New xpansion L~ Repair
- ~No
Basement? ❑ Yes Basement Fixtures? El Yes 24N o
Type of Wastewater System** ~''$'otZrtTLfZ(Skl -SsL i (Initial) Wastewater Flow: 31o0 GPD
(See note below, if applicable
2Z%25Zclt,62-~I Lr*-~r7 (Repair)
Installation Requirements/Conditions Number of trenc es
Septic Tank Size 06 C) gallons Exact length of each trench Lal feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 7 6' I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C_ inches below pipe
Aggregate Depth: Z inches above pipe
/ Z inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
Y,a,,, Y, - umugn. we i.unseruaion numonzanon snau 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 Sewaop Treatment aid ni--1 -,1 m A. ,.r A;. ..m:. CCE ATTArurn CITE CuETru
Ycn.n,• JUL MIIflL11LV JIIL JRLILO
Authorized State A nt:
Date: /0- 2& -029
Construction Authorization Expiration Date:
HTE# Q S - ZZ~ LZ Permit # . ZS-ZVZ,
Harnett Clonnty Deparfinent of 1'iiblic Health
vite Sketch
PROPERTY LOCATON: J;itlV/h'
ISSUED TO: A"/ v,~~ cc s SUBDIVISION LOT #
Authorized State Agen . G3/L '4`S~ Date: 'I-e)- 74 -a
P-11-0 I
(S 5
too
i
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for 014-SITE WASTEWATER SYSTEM
Owner. Applicant: L ZI 2 2-
Address: Date Evaluated / t3- Z a 5
Proposed Facility: Design Flow (.1949):
Location of Site: rty Recorded:
Water Supply: c ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit ❑
Type of Wastewater Sewage ❑ Industrial Process ❑
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
*
Lmdaoape
Position!
Slope %
Horizon
Depth
(in.)
.1941
Structural
Texture
.1941
Comistmoe
Mmenlo
.1941
Soil
welmen/
Color
.1943
Soil
DW& IN.
.1936
Sm"
clan
.1944
Rao
Horiz
Proms
Clan
& LTAR
z- y
4 46
2
L ~l
&-13
sL
c,,
LArmal1puon umru Repsjr SY Odra Factors (.1946
S Site Classification (.1948r ~S
Sysum Tx*B) 1945) 7 Evacuated Hyu T G~~
r'r An rl~iz d _ Offiers "IAWU: