IPACHTE# D'5-S~- 2317 Harnett County Department of Public Health 2 5 71 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
//PROPERTY LOCATION:, .:5,1 17 7 (r, d tz) r,/v4,-
ISSUED ~n
TO• / rJ 1 L' .S/►, SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF{-)
Proposed Wastewater System Type: Zsi~ lu E~U~rLe~
Projected Daily Flow: 31,0 GPD
Number of bedrooms: Number of Occupants: (o max
Basement ❑Yes Q No
Pump Required: ❑Yes ❑ No /M, be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E~ Public ❑ Well Distance from well feet Permit valid for. /Five ears
Permit conditions: Y
❑ No expiration
Authorized State Age Date: /-7-/0 SEE ATTACHED SITE SKETCH
The issuance of this permrt 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 systemmslayout
ISSUED TO: PROPERTY LOCATION .SrZ/77~
SUBDIVISION LOT # y/
Facility Type: /New Expansion ❑ Repair
Basement? El Yes No Basement fixtures? 11 Yes No
Type of Wastewater System** ZS`% /W/J dC17A) (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of tr chestfi s_
Septic Tank Size O0 O gallons Exact length of each trench / 00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a_
Maximum Trench Depth of. Z7 r-7/f3" 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)
inches below pipe
Aggregate Depth: 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 specifications 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 Agent:L
Date:
Construction Authorization Expiration Date:
/-7-/6
HTE# 0 -5 - ay-17
Harnett County
Permit # Z S -710
Department of Miblic Health
Site Sketch
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PROPERTY LO(ATON:,V, /7 -7G p/D 1 ~n
SUBDIVISION 60
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LOT #
Authorized State Ag
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Date: U
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Department of EmAronnbm% Health and Natural Resources
Division of Environmental Health
On-Site wastewater Section
SOIIJSm EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #t:
File N:
Cade:
Owner. Applicant: 23 y37
Address: Date Evaluates: J ? ~ ~'-D
Proposed Faality: 3 jfj~ Design Flow (.1949): Property Size:
Location of Site: Property Recorded.
Water SiVpy: ❑ IndiviQ Wen ❑ spring ❑ Other
Evahodon Method;
Type of Wastewater. Boring ❑ Industrial Procem Mixed
P
R
O
F
I
1940
SOIL MORPHOLOOY
.1941
AR
PROFILE FACTORS
E
Pwi
Stops %
Harizus
DqA
.1941
Strom
Texh"
.1941
conasm a
mbwalow
.1941
Soil
wemar
Color
.1943
Sail
.1936
3490
Clan
.1944
Rehr
Hods
Proft
Clae
A LTAIt
Z
L Aa
- g
1_
!Gd Gov N~ P
i
6'4_16-1L Is
/Z- Y4
Site Clagsificadon-(.194iy
Evaluated Hy:
Others Pr ewmt: