IPACHTE#Jb-S:--2372L_ Harnett County Department of Public Health 2 5 7 3 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION:.~,t l7D / y -5 I"7r c% k y2l)
ISSUED TO, bJ4-I/.= 4w 4 ~/1 SUBDIVISION _1) EIf e- 1_)AJ74 5 LOT # / L
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F 0
Proposed Wastewater System Type: 25 of,~ rlRb 0 CA-Ltr-.f
Projected Daily Flow: 3td'U GPD
Number of bedrooms:- 7mal of Occupants: _max
Basement ❑Yes 5 No
Pump Required: ❑Yes ❑ No be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 Public ❑ Well Distance from well feet Permit valid for. /Five years
Permit conditions: ❑ No expiration
Authorized State Ageq ~ ~A_, Date: t SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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, .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:.DtqviVn f TrA:40c, (f*Aw_ [J PROPERTY LOCATION: -5 174.5 016 S7-,4&a_
/ SUBDIVISION D !'44-9-- hty&ft_s LOT # t Z-
facility Type: S New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ZN o
Type of Wastewater System** ;2s-% 17J_4~v~ s~►- (Initial) Wastewater Flow: 36C) GPD
(See note below, if applicable
2 V!7n )M
byz -lo-) 5 AA(-- (Repair)
Installation Requirements/Conditions
Number of trenches Z
Septic Tank Size /&C>O gallons
Exact length of each trench /Sb feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 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)
Aggregate Depth:
inches below pipe
Z inches above pipe
/2- inches total
**If applicable: / anderrtand the ryftem type .rpeci6ed a different from the type tpeciTed on the application. / accept the .rpeciTcwt nr o/thin 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 rhance in nwnor<hin of tha tiro Thi<
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 Age Date: _
Construction Authorization Expiration Date:
3-23-/0
3 -L3 - /O
HTE# /D - 5 - Z37 Zt- Permit # 2S 7 .30
Harnett County Department of hiblic Health
Site sketch
PROPERTY LOCATON:3t 0 l,>S 6/D SMr2,--- /Zb
ISSUED TO: AhV.T) SUBDIVISION 1)EHZ >74,A- 6tg4t,s LOT # z-
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Authorized State Ag t: Date: 3 - 2 3 y
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: L 3 )zw,
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Date Evaluated: 3 -
Design Flow (.1949):
Property Recorded:
Q'Nblic ❑ Individual ❑ Well
[Auger Boring ❑ Pit ❑
(Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:,
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
F
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Teslure
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
-Depth
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
do LTAR
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va v
-YT,
6',
2~~,Z
rx~l fly"
Y Z
L4
5 L
Oct ?
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7, s y'7i
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S -~tz
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Description
Lutial
S st
Repair System
Other Factors (.1946):
Site Classifi
ti
1948
v
Space .1943
ca
on
E
l
T
System
va
uated By:
Qt
/
im
Site LTAR
- -3
Others Presenit:
v