IPACHTE# /D-5 --23968 1 Harnett County Department of Public Health 2 5 7 3 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -Vc /5-9 Z 0/ /3uZeS C/-CP /2Z
ISSUED TO: CIZe SUBDIVISION ~ Z LOT #
NEW REP (R ❑ EXPANSION ❑ Site Impro ments required prior to Construction Authorization Issuance:
Type of Structure: Sr i)
Proposed Wastewater System Type: Z S%rL~~ y~Cdr~1
Projected Daily Flow: 3(0(7 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ®1'es ❑ !Q Ma be required based on final location and elevations of facilities
Type of Water Supply: El Commumty u tc ❑ Well Distance from well feet Permit valid for. 0 Five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: 3 -2q - 115
SEE ATTACHED SITE SKETCH
The issuance of this permit 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 revocatio 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 systelayout,
ISSUED TO: m ['/00J~ ~ ' G PROPERTY LOCATION: ~ Z S`IZ U/4> fjUG~S CSC Ic,
SUBDIVISION - LOT #
Facility Type: New Expansion ❑ Re air
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E~r No /
Type of Wastewater System** (Initial) Wastewater Flow: 3~O GPD
(See note below, if applicable U
Repair)
Installation Requirements/Conditions Number of trenches I_
Septic Tank Size /600 gallons Exact length of each trench / 5-0 feet Trench Spacing: / Feet on Center
Pump Tank Size 16oO gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z41" 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
Conditions:
a 7-
inches below pipe
Aggregate Depth: Z inches above pipe
/Z- inches total
bZrC14--
**If applicable: / understand the rrstem type specified is different from the type specified on the app/ication. / accept the specifications of this 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 change in ownership of the site. This
Lonsrrucrwn aumonzauon is suolect to compuan(e 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: 3 -2y - t z)
Construction Authorization Expiration Date: 214 -fa
HTE # Z 3` 9 q Permit # -2 5 -7 3 a
Harriett County Department of Pablic Health
SAP I ketell
PROPERTY LOCATON: -'Vt/5qZ 61k)1-30LX~ etce
ISSUED TO: SUBDIVISION v 'u coazato, LOT
Authorized State Age Date: 3 -Z l _ /0
v N OF i3 /C rce~ ('7G 5
T"
off'`' a~
-W ~Yti b
57'1) B f 1,)jv, 4z) 41-07-
A~~L A-700094- & 4116-0
v fi 62Dt1,) j /4-,j4 pUk.-p
/s~8~,
mq~ be-
Department of Environment. Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property 1D:
Lot
SO'USITE EVALUATION
File
t
for
ON~ITE WASTEWATER SYSTEM
w:
Owner- Applicant:
Address: Date Evaluated: 3 -
Proposed Faculty:
Design Flow (.1949);
Location of Site:
Property Size:
Pam, Recorded:
Water Supply: Q~Public ❑
ll
❑ W
Evaluation Method: ~uger Boring ❑ Fit
e
❑ Sing C1 Other
Type of Wastewater; 0-sage ❑ Industrial Proces
❑ Cut
s ❑ Mixed
P
R
O
F SOU. MORPHOLOGY
I .1940
O
L
Horizon 1941
I-andmemps
THER
PROFILE FACTORS
E Position/ Depth .1941 .1941
Slope % (tn.) stucmw Conmiatena
.1941
son
.
1943 .1956
Texture Iybleralo
Sal
! Z- .~6 O.3 o
IN Cana
`fs3
S4
.1944 I Pronle
Re* Clan
Hanx & LTA
s
0 3F s~
V T. u U,
t f J.110
5 ~ I fz" pry-
9z`=
r
S em Other Factay (.1946
Site Class. Cation (.1948r S
5 ob_ Evaluated By:
Othaa Present: