IPACHTE#/o- z3~~y Harnett County Department of Public Health 2 5 7 2 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION;.SX/y/Z C`i.~.a~r•~.3 ~z'r(r~-~
ISSUED T . ,,4;!4l~ ~ipy. it S SUBDIVISION _~a2>°sr~ j ~,g~~s LOT #
NEW Evf REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sib
Proposed Wastewater System Type: Z5-9's fL- D UG2 ~ Scs -
Projected Daily Flow: 3(,,p GPD
Number of bedrooms: Number of Occupants: (o max
Basement ❑Yes 2 No /
Pump Required: ❑Yes ❑ No Q MM a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L~7 Public ❑ Well Distance from well feet Permit valid for. 2 Five years
Permit conditions: Qc-- Z:~ )5"-~ r --4 2
5 ❑ No expiration
Authorized State Age : Date: Z - S - JG) SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 i 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, .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 TO: y~ ~~~a f~do PROPERTY LOCATION:
SUBDIVISION LOT # /a2-
Facility Type: ❑ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~'No
Type of Wastewater System** 25'916 c)r126, n;~n (Initial) Wastewater Flow: GPD
(See note below, if applicable /4
Z 126~>'U ZJ-2~rS (Repair)
Installation Requirements/Conditions Number o trenches
Septic Tank Size /060 gallons Exact length of each trench 75 feet Trench Spacing: q Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. inches (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: z- inches above pipe
Conditions: inches total
**If applicable: / anderstand the system type specified is different from the type specified on the app/ication. / accept the rpecifications of this permit
Owner/Legal Representative Signature: Date:
This Cohstrurtinn Aurhnriiatinn k cAwt m .o - ;f ~h~ ,.i,.. .c_
- - r r_F - --is....... -muuuuwn nuwoncauun mall not oe transterrea 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 Dimmal and in rho rooditi- „t 'hi, --tl Ur ATTArurn CITE CVETru
Y..,...,. n1-1-V AIL. Jnuw
Authorized State Ag ref Date: 3 r 5- - /b
Construction Authorization Expiration Date: 3 - - ~6~
HTE# Permit # a S 7
Harnett County Department of F' iblic Health
Site Sketch
PROPERTY LOCATON--W/V/Z l- 4~11- /~74~
ISSUED T0: SUBDIVISION Z;lre5-1- LOT # /<5Z
Authorized State Ag Date: 3-5--lo
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Proposed Facility:
~y
Design Flow (.1949):3ln b
Location of Site:
Water Supply:
H-P-ublic
(j Individual [ ] Well
Evaluation Method:
Auger Boring
(J Pit
Type of Wastewater:
ewage
[ J Industrial Process
Date Evaluated: Property Size:
Property Recorded:
[ ] Spring Other
[ ) Cut
( ) Mixed
P
R
o
F
"
SOIL MORPHOLOGY
.1941
; OTHER
PROFILE "FACTORS
I
L
E
#
. t94a `
Landscape
Position/.
Slope%
-
-
Horizon
Depth
(IN.)
1941
Structure)
Texture
1941
Consistence
Mineralogy
1942 r
Sos YI
. Wetness/'
Cotor
1
i, 1943
SaH`".,
Depth' IN.)
9W;
Sapro(`
dial's",
1944`"
Re*'
~lori2-
Profile + r
Class;.
<Afi
1
L e
6 `A 6-
,5r_
Z s,
2
L
a-~
~O
re-
0 Z
~
?9p
o . /p
SL,
arc- ~ti ~ P
10 9`
Sc cr
pa
b•,
Description
Initial Sy m
Repair ystem
Available Space (.1945)
System Type(s)
ZS"'lo
~
ISite LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: G~
Others Present: