IPACHTE# iv - s--y38 z? Harnett County Department of Public Health 2 5 7 2 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~ A PROPERTY LO(ATION:ffA-; ZW9
ISSUED TQr~_SUBDIVISION Supr LOT # _0
NEW 5' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type_ _Mw-- a/ a Z ~ i /Zl
Projected Daily flow: 3(mQ GPD
Number of bedroms: Number of Occupants: max
Basement Edges ❑ No
Pump Required: Yes ❑ No ❑ Ma a required based on final location and elevations of facilities ZFie Type of Water Supply: ❑ Community Public F-1 Well Distance from well feet Permit valid for: years
Permit conditions: ❑ No expiration
Authorized State Ag~T Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 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, .1957, .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 T0: 5 U19-xI PROPERTY LOCATION: S)ZlNly OAX'/llt~S 1ZC'i_/tsrC~
SUBDIVISION 75, Z~) yoVJ)1g l/l L 0 T # Z _
Facility Type: ~lew ❑ Expansion ❑ Repair
Basement? Yes ❑ No Basement Fixtures? Yes ❑ No
Type of Wastewater System** jl]A~42~r' ,-is ZS-OLa ( " nitial) Wastewater Flow: 31oa GPD
(See note below, if applicable
9 ~ )kV 2~~a 09-b (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Zoo O gallons Exact length of each trench Z LD feet
Pump Tank Sae I D O O gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ?_8" 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: h 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 /s different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction AuthorMhAn is mhWt to 6- it thn dm nlen nler t6e Aa A ,ti,.,-- TG. r__.w..-.:._ ..o _
...o. „ „,a, „ , „a„ t~, hitch a etc o a mange in ownership or me site. ims
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 t: Date: - 3 -1 a
Construction Authorization Expiration Date: 3 - l -~s"
HTE# 16-5=2 38Z~ Permit # Z57Z.3
1j;,jxnett County I)epartment of M-tblic Health
Site ketch
PROPERTY LOCATON: ! P E 4kA~l
ISSUED TO: STS t/~J } SUBDIVISION -t z s'(a3.aQQ LOT # Zif
Authorized State Ag4E:- , Z Date:
~ v
I
I<
38
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Lam-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant: Vag,, k/ 1110_` 4
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 36-1t) Property Size:
Location of Site: Property Recorded:
Water Supply: [ he ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ( uger Boring ❑ Pit ❑ Cut
Type of Wastewater- ❑ Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
l
Lmudsoape
Position/
Slope %
~C) Z 7-
Horizon
Depth
(In.)
.1941
Shuchve/
Textum
.1941
Comistence
Mineralogy
o-
.1942
Soil
webmw
Color
.1943
soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
tZ-
c
S
f~''G
. 3
z
6 i
r.
~
6
c -C ow
ve-
a3
L -
8 s`
r
Na °
-y
~~-C,
r I
a_,
fj
Lxmmpuon Initial Repair Sy Other Factors (.1946):
s stem Site Classification (.1948):
Available 3 a .1943 Evaluated By
$ stem a se~'~ Jy2s1„
Site LTAR _ 1 3 - 5 ~.W Otheis Preseltt: