IPACHTE#s~-s-zy/oi Harnett County Department of Public Health 2 5 7 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -5-44 y0 3 cz)
ISSUED T -Si~9r~C~Y Q(J~/l~~S ~~c SUBDIVISION CoKesh~, LOT # -711
NEW REPAIR ❑ EXPANSION ❑ Site Improvements r quired prior to Construction Authorization Issuance:
Type of Structure: '5 i4b
Proposed Wastewater System Type: Z0jaiZ~i~f/t ~7L dU
Projected Daily Flow: ~(v® GPD
Number of bedrooms: Number of Occupants: -~P max
Basement ❑Yes No
Pump Required: es ❑ No Ld be required based on final location and elevations of facilities ZFi Type of Water Supply: ❑ Community MaPublic 11 Well Distance from well feet Permit valid for: years
Permit conditions: ❑ No expiration
Authorized State Age Date: - SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 t e 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: PROPERTY LOCATION:.c3c-/9'OS C'~X2i
_ / SUBDIVISION LOT #
Facility Type: W New Expansion ❑ Repair
Basement? ❑ Yes sN10441%sement fixtures? ❑ Yes Lam! No
Type of Wastewater System*" ` /Z~/~tJC/7lJ1~ 4y,
(See note below, if applicable Al"0
0/4t4-ytJ411" e~ Z-Z?r?- y -(Rep~ir)
Installation Requirements/ onditions Number of trenches 3 '0 Septic Tank Size /000 gallons Exact length of each trench t: D "-Ply feet
Pump Tank Size gallons Trenches shall be installed on contour at a
r rt 5c'" Maximum Trench Depth of, _ Zy inches
q !Z zq.{✓~S (Trench bottoms shall be level to +/.I/4"
j in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: J&Q GPD
Trench Spacing: 2 Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2- inches above pipe
/Z inches total
**If applicable: / understand the ryrtem type rpec111'ed it different from the type .rpecillied on the 7pp&,u1o17 / accept the rpec111'w1o17r of thin 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
Date:
The Construction Authorization 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
Authorized State A pate.
Construction Authorization Expiration Date:
HTE# /O - S- Z`f/l~l
Permit # 7 3 S
Harnett County Department of ll~ibhc Health
Site Sketch
ISSUED T0: GL / PROPERTY LOCATON: D
,a~T1y S *r►~C SUBDIVISION Ce LOT # -7v_
Authorized State Agen . ate:
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Department of Environment. Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOIL/SM EVALUATION
File
for ON-SITE WASTEWATIZB SYSTEM
Code:
Ow
5-
ner: Applicant
Address Date Evaluated:
Proposed Facility: Design Flaw (.1949): A&5Z
Property Size:
Location of Site. Property Recorded:
Water sup* tic ❑ Wividual ❑ Well
❑ Spring
❑ Oth
Evalua iart Method: Auger Boring ❑ Pit cut
Type of Wastewater: ❑--ga
er
ge ❑ M&strW per"
wed
P
R
O
P SOIL MORPHOLOGY
t
Oi 11FR
1940 .1941
lpa Horizon
PROFILE FACfORs
E ~
.1941
~Pd .1941 .1941 soil
N slope % (tn.) soucttwl Comidam webmw
.1943
.1956 .1944 Ptome
T*Xh" Miawalo Color
soil
IN.
Sapre Redr C1aM
Clan Hoais A LTAR
t t_ 4 °'ZY sc-,vs~✓
Oka=
2 Y-511
Dekri Mon Initial Rqw* Sydow
( k
Other Factors 1946
S
Site Classification (.1948X
Av&& 0 S cc .1945
`
n Evahated By
LT
Sh
a y
~
Gl
~ Others Pre Prem xnl: ~
e
AR
. ;