IPAC RHTE# d9-s-Z.3ZS7/z Harnett County Department of Public Health 2 5 7 0 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION;/Y/O OC /jam
ISSUED TplmSvZ.~,v•~~ .~S /how ~ T ~(r~ SUBDIVISION -rb drA/ LOT # _
NEW E REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 7;-1/H
Proposed Wastewater System Type: ZM ~~OC~t1>J
Projected Daily flow: -3 66 GPD
Number of bedrooms: Number of Occupants: max 13 Basement ❑Yes No
Pump Required: ❑Yes ❑ No I~ MMbbe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E Public ❑ Well Distance from well feet Permit valid for. Lr(Five years
Permit conditions: ❑ No expiration
Authorized State Agen • Date: /Z-Z-o 9 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 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, A% 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 T0: S11Z1kJC ! _1+4j,g~ %~-sA> PROPERTY LOCATION:.5C/Wo O C /~~sr> 106
SUBDIVISION TA Dr-~J LOT # -3
Facility Type: 12 New P Expansion ❑ Repair
Basement? ❑ Yes Q No Basement Fixtures? ❑ Yes E No
Type of Wastewater System** IfIVA Z,&.606.7-z4-3 (Initial) Wastewater Flow: _E/20 GPD
(See note below, if applicable
Z::"6 9-67-11-0 c.I-W4J (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l v o o gallons Exact length of each trench /CO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. /9 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 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: /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:
I....", , „ ~ , m ra,,, N,,,, ,„e r„ we u,anges. me consuucuou aumonzauon snap not De transterrea when there is a change m 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 UTF UFTCN
Authorized State Agen : Date: ~ z-- z -o q
Z - /
Construction Authorization Expiration Date: / 0-
NTE# QS - S- 23Z97lZ Permit # ,2-570(,
Harnett Col my Department of Public Health
Site Sketch
PROPERTY LO(ATON:4G/0/a OC Ile-y
ISSUED TO: SU7.;r JJe L~ dwd~c~ % A~5r SUBDIVISION TD cZty LOT # 3_
Authorized State Agen. Date: /t- Z-
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Depament of Environment Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISPTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant: 2 .?-2-11"e o-Z N-z 7
Address: Date Evaluated: 5-(°
Proposed Facility: lit Design Flow (.1949): ' Property Size:
Location of Site: Property Recorded:
Water Supply: ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Boring 0 Pit 0 cut
Type of Wastewater =ge 0 Industrial Process O Nxed
R
O
F
I
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
L.adscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Strum"
Tudors
.1941
Considmae
mineralogy
.1941
soil
webmw
Cola
.1943
soil
Dq6 IN.
.1936
Swo
Class
.1944
Restr
Hariz
Proms
Clan
# LTAR
L
c - yz
S~.
RL
y2,99
SCL-
Z
4
0 -Zg
SL
LS 3~5
5cL
' n.
3
o -,g
si_
~s P
Ll
6,t 103AP
.3Ld
76 " q-
(rrt-
Desaiption
Initial
System
Repair !r"
/
Other Factors (.1946
Site Classification (.1948): PS
Available 3 .1943
Evaluated By:
dam a
Others Present:
Site LTAR
~r 1