IPACHTE# A'-5- ZYld3 Harnett County Department of Public Health 25741
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S-L/ lj
ISSUED TQ~~ d1i l Z~tl~ SUBDIVISION
LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site Improvement required prior to Construction Authorization Issuance:
Type of Structure: 5f
Proposed Wastewater System Type: 00/0 Projected Daily Flow: ,3&Z GPD
Number of bedrooms: Number of Occupants: _ max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No L►1 Mare required based on final location and elevations of facilities
Type of Water Supply: ❑ Community t!1 Public 1:1 Well Distance from well feet Permit valid for: Five years
Permit conditions: n M
„V CApl1dUV11
Authorized State Age G vC
Date: - / - / b 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 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: mil i IG T- PROPERTY LOCATION: 0,3
/ SUBDIVISION LOT # _ 76
Facility Type: _ _ Cam}' New ❑1 xpansion ❑ Repai
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L 0
Type of Wastewater System** ZT/ iG ;j~r C~rD (Initial) Wastewater Flow:aQ~ GPD
(See note below, if applicable
~~1~ ~~~J~,~Ld3.) (Repair)
Installation Requirements/Conditions Number of trenc es p
Septic Tank Size 164U gallons Exact length of each trench (Qc) feet Trench Spacing: f Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _e_ inches
Maximum Trench Depth of: _L4_ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
~o inches below pipe
Z inches above pipe
Z inches total
'*If applicable: 1 under land the system type specified is different from the type specified on the app/ration. / accept the specif2mionr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage
Authorized State
.2
Date:
The Construction Authonzation shall not be transferred when there is a change in ownership of the site. This
Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date:
Construction Authorization Expiration Date: -t~ -/S'
HTE# Za-5- zy1D3 Permit # 5S 7 y f
Harnett (col my I)epartjnent of 1,tibli_c Health
Site Sketch
PROPERTY LOCATON: s~Zgo 3 n44-z
ISSUED TO:.STi~i+ / SUBDIVISION LOT # 74,
Authorized State Ag
Date:
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Deponent of EmWnment, Health and Natural Resources
.
Division of Environmental Health
Shed:
On-Site Wastewater Section
Property ID:
e
Lot
SOIIJSTTE EVALUATION
File
for ON-SITE WASTEWATER SYSTEM
Code:
J
Owner. Applicant: 931-
l5
l6
Addmss: Date Evaluated: Y -?"4-
Proposed
Fatality: Desip Flow (.1949):
Property Size:
Location of Sher F uperty Recorded:
Wate t Sup* 0'f lblic ❑ Individual ❑ Well
❑ Siring ❑ Other
Evaluation Method: El-Auger Boring ❑ pit Ct
Type of Wastewater: U-Sewage ❑ Industrial Process Mixed
P
R
O
P SOM MORPHOLOGY
E
L 1 .1940 Haizoo 1941
Lano~wp
THER
PROFILE FACTORS
.1942
E Pmidod Dqd .1941 .1941 so"
p Slope % (IM) sb
d"
1943 .1916
.1944 Ptott!•
u
Cowdeme Wdana!
Tin Miaanb Cdar
Soil sm"
Re* Claw
l 4 b% r-So L
QY. Clan
Haas A LTAK
6 ;JP
x~ t sssr
~ L K ~ -:g SC ~
319
3 Lv.~ 0 2~ L
rY2 sw
~
+pdoa minion Rq* Sy Other Factors (.1946k
Availa bb 9 a .1945 s oleo Site Classification (.1948):
P'S
S atma a Evaluated By:
Sits LTAlt q Others preset-