IPACHTE#/y- s--ezyz/~ Harnett County Department of Public Health 2 5 7 4 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: yzz~ 146
ISSUED T Z~G Cr SUBDIVISION LOT # --z-2.
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _S FU
Proposed Wastewater System Type: ZS'% /L~DUGTZd~
Projected Daily Flow: 3l00 GPD
Number of bedrooms: .3 Number of Occupants: 61 _max
Basement ❑Yes Li" No
Pump Required: ❑Yes ❑ No I ✓ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I~ Public ❑ Well Distance from well feet Permit valid for. 5Five years
Permit conditions: ❑ No expiration
Authorized State A Date: 36 /D SEE ATTACHED SITE SKETCH
The issuance of this permit the 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, .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: ZC PROPERTY LOCATION,41~1!5S a~'A4L, /2
SUBDIVISION LOT # o?a
Facility Type: 5 F _ VNew Expansion ❑ Repair
Basement? ❑ Yes IR" No Basement Fixtures? ❑ Yes aNo
Type of Wastewater System" ZS-Z (Initial) Wastewater Flow: 3&4~ GPD
(See note below, if applicable
Z536
> IFW4 (Repair)
Installation Requirements/Conditions Number of trenc es a
Septic Tank Size /d O U gallons Exact length of each trench /.5-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover inches
Maximum Trench Depth of. 26 f/ r 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: 12-- inches total
**If aoplicable: l understand the ryftem type soetirred it &Aerent from the type specified on the application. l accept the rpeciflcationr of this permit.
Owner/Legal Representative Signature: Date:
-J." - 11 urc as pall, Ptas, or me mtenueo use changes. ine construction authorization shall not be transferred when there is a change in ownership of the site. This
WlpLFULLIUII nu01011Ldman is suolect to compuance 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 A t: Date: -30 /U
Construction Authorization Expiration Date:
HTE# /D -S -L 12/(o Permit # 7 q5
Harnett (Vonnty Departinent of ll~iblic Health
Site Sketclh
PROPERTY LOCATOW-*<-0q 6- E3.u ~ ~ ~/J
ISSUED TO: Z~ C SUBDIVISION e ,fir' LOT # Z_
Authorized State Agent, Date: -.To -/C
I
t~
,l
HS ~ 3G
Department of Environment, Health and Natural Resourm
Division of Environmental Health
On-Site Wastewater Section
SOIUSIfTE EVALUATION
for ON-SITE WASTEWATER SYSTEM>
Owner. Applicant: Z41 Z 14v
Address: Date Evaluated: ti
Proposed Facility: Design Flow (.1949): ~Vc3
Location of Site: Property Recorded
watts Supp[y [Public ❑ Individual ❑ Well
Eydus on Method: Auger Boring ❑ Pit
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File 0:
Code:
Property Size:
❑ Slag ❑ Other
cut
mixed
P
R
O
P
SOIL MORPHOLOGY
OTHER
1
L
.1940
.1941
PROFILE FACTORS
Loxha a
Horizon
.1941
E
PoaitioW
Dqd
.1941 .1941
soil .1043 .1956
1944 ?M ft
Slope %
(tor)
stud" Conwdence
.
webmw soil SWO Re* Cleat
1 e Mineelo
Color AtekCINI Cls» Hais • LTAR
G cr - I Q 11 S) . - n
;'n' 6e
l~
Z G /gam G~~r~O
3 c 10-iz
S of Repels Other f Won 946X
Z&Odnble 0°s
s a .1945 Site Classification (.1948X YS
,tens . ti Evelue6ed By cl
sit_ LT,aR Others Ph-jerk