IPACNTE#iv-s-2-3952- Harnett County Department of Public Health 2 5 7 2 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Sr[ /727.3 t1~S
ISSUED TO- ON c SUBDIVISION ,AfI~J~rG~z,~ LOT # _1
NEW C•7 EPAIR I V EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _AUL UylA .
Proposed Wastewater System Type: ZS% 94(r-bf.2r fiZ.
Projected Daily Flow: 3(00 GPD
Number of bedrooms: Numbe of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No M Pump be required based on final location and elevations of facilities 1
Type of Water Supply: El Community E Public ❑ Well Distance from well feet Permit valid for. U Five years
Permit conditions: ❑ No expiration
Authorized State Agen Date: 3 ' $'-10 SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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, .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: ~SO G'oq~~
,z J ~2 PROPERTY LOCATION: SIL
SUBDIVISION
LOT # l
Facility Type:
New Expansion ❑
Repair
Basement? El Yes No Baseme
nt Fixtures? El Yes No
Type of Wastewater System** Zs1 1Zrj
-1%J C-47~~ 0~ T ai-. 27r G
.~ztt.~j
(Initial) Wastewater flow: 3(ob GPD
(See note below, if applicable
Z5~"/a tL
U n ~rL s rte os.4 ,~3G (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size O D o gallons
Exact length of each trench
feet
Trench Spacing: 9 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 i e
Conditions:
Aggregate Depth:
pp
L inches above pipe
/Z- inches total
*"If applicable: /understand the system type specired is different from the type specified on the application. / accept the speci6c3tionr of thir 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 chanee in ownershiD 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 A en~
g Date: 3 -to
Construction Authorization Expiration Date:
NTE# /6 - 5 - e 385-2 Permit # Z S 7 Z
Harnett County Department of lVblic Health
Site Sketch
PROPERTY LOCATON: 7Z 66:5
2d
ISSUED TO: SUBDIVISION ✓ ` LOT #
Authorized State Ag • Date: 3 '0°-/a
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Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot
File
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: z3Y62
Address: Date Evaluated:3 -1-lo
Proposed Facility: Design Flow (.1949):
L
Property Size:
ocation of Site: Property Recorded:
Water Supply: li
❑ I
[
c
ndividual
Well
❑ Spring
❑ Other
Evaluation Method: Auger Boring ❑ pit
T
e of Wastew
t
S
❑ Cut
yp
a
er:
ewage ❑ Industrial Pro
cess ❑ Mix
ed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
I
.1940
L
W
.1941
PROFILE FACTORS
.
sow
-
Horizon
E
0
Positron/
Slope %
Depth
(I6)
.1941
h"
Stru
.1941
C
.1942
Soil
.1943
.1936
c
Texhwe
onsistence
minft~
watnal
Color
soil
Depth IN.
sq"
Clap
C-1 Irz,.- 1
.1944 Proms
Restr Clap
Harts # LTAR
2, 2~
Z L - z% o-io SL 4t C~N-V
Z2 Y~
52
3.1 1 F -
• y~ G -Gr
411" ti,/`</
. I .y7. I.C.-
o 'T _').ZS"
F_..... f.... r _ U... r_._..... r.-.._. r-._ 4_.__._
SY Other Fsctors (.1946):
Site ClassifiE ti ( .1 1948r j 3- I O
Others Preseena :
s z