IPAC RHTE# /U -s- z-379sz Harnett County Department of Public Health 2 5 7 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION Lsi -1g1,7 6 54&
ISSUED VISION
2~~s~-
NEW L~ REPAIR ❑ l(PANSION--T LOT # Lr
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -13
Proposed Wastewater System Type: Z-~5- d/, LO, e p v CA-ZZ,,„)
Projected Daily Flow: 3G. t> GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes ❑ No L~1 May e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions: Permit valid for. 21ive years
❑ No expiration
Authorized State Age Date:
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 Sbodies A in meeting Stheir egETCments. 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:
4::22y / Z PROPERTY LOCATION: ~L VIZ SUBDIVISION 'ae,5 " LOT # /ag
Facility Type: - S 10 New Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes 5~ No
Type of Wastewater System**
(Initial) Wastewater flow: 3&Q GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size _,I( y~ gallons Exact length of each trench
Pump Tank Size feet Trench Spacing: ~ Feet on Center
P gallons Trenches shall be installed on contoul at a Soil (over. 4/, inches
Maximum Trench Depth of. Z8ZVE 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. TDN vs. GPM
inches below pipe
Conditions: Aggregate Depth: Z inches above pipe
t3
inches total
**If applicable: /understand the system type specified is different from the type specifed on the app/ication. / accept the .rpeci6c PON of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revoation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there eis 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 A !2f~! ~ -AO
Date: 3'"
Construction Authorization Expiration Date: 3 -/8 -L
HTE# ~0 - 'S'- Z 3-7 Permit # a S 7oZ 5
Harnett County Depailment of Public Health
bite ''ketch
PROPERTY LOCATON:-$e-IV/Z ~ ~ s~c.¢.•~
ISSUED TO: SUBDIVISION F,zESf i~r~ ti/ LOT # 14
Authorized State Age ~ •{-d~s Date:
P\'A
c- "
*W,4 rZ1Z )%lj 6 ~~eC ( E
KlA-~M)~d
C/
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant: 4+ cb n--7-~
Address: Date Evaluated: 3 -2 - r a
Proposed Facility: %-b Design Flow (.1949): ?jo Property Size: • 61y~
Location of Site: Property Recorded:
Water Supply: lic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Htger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
1940
OU. MORPHOLOGY
.1941
THER
PROFILE FACTORS
I.
E
#
Lnwlseape
Position/
810" %
Horizon
Depth
(In.)
.1941
St uctnud
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wataesa!
Color
.1943
Soil
Depth (IN.)
.1936
Sapro
Class
.1944
Restr
Honz
Profile
Class
LTAR
C. G'79o
b ' Z
15L
.NSo
14,
Z
L t,-7
o - 10
A&J
3
Lam'`
o- +-L
b a
IZ-w&
sc -U
J ft-t _5.19
Description
G"
Repair System
Other Factors (.1946):
s stT
Site Classification (
1948): S
Available Space .1943
.
3 stem a
wsA'P Q ~
Evaluated By:
~5 tr4"s~
Site LTAR
Others Present