IPACHTE#9q -:s7- ZF189 Harnett County Department of Public Health 2 5 7 0 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.!!k S3 6"41° 64*1166
ISSUED TO SUBDIVISION _ T.5 C,0&& LOT # 3
NEW 11 AEPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: W
Proposed Wastewater System Type: LS°.6t2P~TtZa~J
Projected Daily Flow: 360 GPD
Number of bedrooms: Number of Occupants: _L max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ma required based on final location and elevations of facilities
Type of Water Supply: Q community IJ Public ❑ Well Distance from well feet r Permit valid for. 21ive years
Permit conditions: 'ft CD's 4-6 a $o ❑ No expiration
Authorized State Age
Date: 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 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 condi
tions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952,
.1954, ASS, .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: A
PROPERTY LOCATION: ~5r2z-575 ~ 6e2--'~ D. -iZA
SUBDIVISION .7--5 . C.ydQ LOT # 3
Facility Type: D
ZNew ❑l xpansion El Repair
Basement? 11 Yes No Basement F
ixtures? El Yes O No
Type of Wastewater System" Zy;11/bI M
-6,dc9'1 e;5! IAo- - (Initial) Wastewater flow: '36.~0 GPD
(See note below, if applicable
n
(J S4~
-~az.t C,20 u ,~-c.,-~ LiRepair)
Installation Requirements/Conditions
Number of trenches Z
Septic Tank Size _ D0_ gallons
Exact length of each trench /9-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil Cover.
inches
-
Maximum Trench Depth of: ZV' n c h e s (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 inches below pipe
/
Aggregate Depth: 7- inches above pipe
e
Conditions: Is A)
a
D All'%
-
4A) 5,4i e inches total
D
AW s/Wl
**If applicable: /under tand the system type rpeciped is different from the type speciTed on the application. / accept the specipcations 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 Ag Date: /l Z-DS
Construction Authorization Expiration Date:
HTE# ~Cf Z3✓~~! Permit #
narnett ('ounty Department of lNiblic Health
Site Sketch
PROPERTY LOCATON:.SG/s5:3 zir-,d-
ISSUED T0: + SUBDIVISION T.S C.WB LOT # _
Authorized State Age G Date: /Iry
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Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM[
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
JI ICtlt.
Property ID:
Lot
File
Code:
Applicant: 3 t It C1'
Date Evaluated--//-q0--6?
D Design Flow (.1949): 3/0~ Property Size:
Property Recorded:
[ Public (J Individual Well Spring Other
[ Auger Boring [ J Pit [ j Cut
114ewage Industrial Process (j 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 .
Soil
Wetness/'
Color
.1943
SON
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
3a
o- io
SG
~ 62
~
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i~
D -
/7C
11*0
led 4&
Z
L L~
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SC' L
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3q"7
3
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L
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3
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12-
se -c,
A?` sty
- 35
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y
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ZK
5t
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24-42
SC-C/
lam- fa*I
yDn 157
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Description
Initial Sy em
Repair ystem
Available Space (.1945)
System Type(s)
Site LTAR
3
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: