IPACHTE# /D -s'- 1Y1 73 Harnett County Department of Public Health 2 5 7 4 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION -Sle ~ elgtll
ISSUED T~!~~ ~~tJl --~~•~/s!~~ SUBDIVISION . / Gi X LOT # !
NEW Wj REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: hNI11W
Proposed Wastewater System Type: j_$'16
Projected Daily Flow: 3(00 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ~M be required based on final location and elevations of facilities /Five Type of Water Supply: ❑ Community W/ Public ❑ Well Distance from well feet Permit valid for: years
Permit conditions: ❑ No expiration
Authorized State A n ~
Date: - ZZ
SEE ATTACHED SITE SKETCH
The issuance of this permi y th Health Department in no
way guarantees the issuance of other permits. The permit holder is responsible for che
cking with appropriate governing bodies in meeting their requirements. This
site is subject to revocat n site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in owne
rship of the site. This permit is subject to compliance with the provisions of
the taws 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, AS& 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 LOCATIO/77Z.5_
F
ili
T
SUBDIVISION Z
/
d LOT # ✓
ac
ty
ype:
V
New Expansion ❑ Repair
Basement? ❑ Yes 12/ No Basement Fixtures? ❑ Yes [O No
Type of Wastewater System** 2
/
-Z~.4- 4 c 0 1
(Initial) Wastewater Flow: fo GPD
(See note below, if applicable
LS°~
~~1JG77~}J~y3,74, (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size f0 D0 gallons
Exact length of each trench $a feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: Zt6" 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
inches below pipe
Aggregate Depth: L inches above pipe
Conditions:
/Z inches total
**►f applicable: /understand the system type specified is di!/erent from the type specified on the application. / accept the rpeciflwions of thin permit.
Owner/Legal Representative Signature: Date:
n„> UI-1-1- nuw-LdtIVn U wuteu w leruiauun it me site plan, piar, or me mtenoeo use changes. the construction Authonzahon shall not be transterred when there is 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 Date: ZZ /d
Construction Authorization Expiration Date: -Z-7,-l5
HTE # /O- 5 - Zell 73 Permit # S 7 L
IIal-rnett Count`- Departillerlt of Public Hetalfll
Site 'S'lIcetcl)
//PROPERTY IOCATON: ~7Z S ALv
ISSUED Td: cd C~9y~te~ SUBDIVISION
~JS~s
Authorized State Ag Date: - L Z--`w
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOHJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owns: Applicant: J
Address: Date Evaluated: q -iy = b 14 ;J/;Y0, /vy
Proposed Facility: Design Flow (.1949): Property Size:
Locution of Sitar. Property Recorded:
water suppijr. ~~ubhe ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Q Auger Boring ❑ Pit cut
Type of WasWwwater: (2r Sewage; ❑ Industrial Process H Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
E
H
Politioal
Slope %
Depth
(la)
.1941 .1941
Sw
ftw
soil
.1943
.1936
.1944
Ptome
w
Cofwda m
Testun Mimnlo
Webm"
Color
soil
DNA IN.
Sal"
Clan
Redr
Horiz
Ctnr
A LTAR
I
L ~
e~zo
L
1.0-4$
SC.t-
/Iw Yr
7 •SYU
Z
t'L¢
o'/
L
17,
96
L Z°Ir
o - l$
L
scc.S A.
3d aa" z 4
.14
3
Other Factors (.1946 -
Site classification (.1948} f -s
Evahwted By: 19~
Others present: