IPACHTE#-Oq - - z~I 72 Harnett County Department of Public Health 2 5 7 0 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit ~c
PROPERTY LOCATION:_ .ZD~lzl,0 -11 X66
ISSUED TO: / tl SUBDIVISION _7g_> LOT #
NEW [~i' REPAIR ❑ EXPANSION Site Improv ents required p r to Construction Authorization Issuance:
Type of Structure: Sim
Proposed Wastewater System Type: 25"01v feftMAZ it
Projected Daily Flow: $0 GPD
Number of bedrooms: Number of Occupants: _ max
Basement ❑Yes I?"N*o
Pump Required: ❑Yes ❑ No ZM1-11
ay be required b d on final location and elevations of facilities
Type of Water Supply: El Community ❑ Public [ Well Distance from well feet Permit valid for. Id Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b 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, 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: -76-M Le¢ 7y7_4~ 4)J PROPERTY LOCATION: .6C 2603 x_/26
' SUBDIVISION bAM,% 1 _ LOT #
Facility Type: - Z/New Expansion ❑ Re' air
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System** Z `s~°/a ILLS 4C.f?.07,~ (Initial) Wastewater flow: ge9b GPD
(See note below, if applicable /
(Repair) RAP Installation Requirements/Conditions Number of tren es Z
Septic Tank Size 124->O gallons Exact length of each trench /G U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z-5 W8 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. _4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
_e inches below pipe
Aggregate Depth: Z inches above pipe
/L inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication, / accept the rpecipcationr of this permit
Owner/Legal Representative Signature: Date:
Vf-UILNO eummaauun 6 )uufeu ru revocation if me site plan, piat, or me mtenaea use changes. the tonstruchon 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 Age ate: l l' 1-7 - D
Construction Authorization Expiration Date: - -I
HTE# 0- S Z 317 L. Permit # 2 -5'7 0 3
Harnett Connty Department of Public Health
Site ketch
PROPERTY LOCATON:.W- Zaa3 7n'cLrr,..~ ~p
ISSUED T0: A o~►a,a~ SUBDIVISION ~ohti i`~/" LOT #
Authorized State Age Date: f/- / -7
?,'i
76-r~s
I 0
c - -2 r'
0
X13-.
7C
S"d
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIIJS1TE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: / 7 Z -
Address: Address: Date Evaluated: /If/c/01
Proposed Facility: Design Flow (.1949): Property Size:
L.ocatiOn of Site: Property Recorded:
Water Supply: ❑ Public ❑ Individual p'Well ❑ Spring ❑ other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: aSewage ❑ Industrial Procem ❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Stnusnn w
Texh"
.1941
Comisteece
miinerab
.1944
Soil
wetn"d
Color
.1943
soil
Depth (IN.)
.1936
Sspro
Class
.1944
ReW
Horix
Proft
Clan
& LTAR
G-.J
°J
G- ,~r
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I,/
az Ig
A 16-r-)
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zy
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Description
Initial
"tOQS
Repair System
Other Factors (.1946
F5
Site Classification (
194a
t
S
.1943
r
.
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t
d B
E
Sys
em T
System
uy
va
ua
e
y: By K-- p a
O
h
P
Site LTAR
s
t
ers
resent: