IPACHTE#fb-5 -ZY3ZV Harnett County Department of Public Health 2 5 7 4 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATION:V_
ISSUED TO 5~~~ ~5~ / I ¢,t~ sJG SUBDIVISION .%U#A)96~ 6717~ LOT # 3.2
NEW ~7 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a+°
Proposed Wastewater System Type: Z5°la t2PblA;TLn.J :,<,~6~
Projected Daily Flow: 3t-D GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes [&No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for OfFive years
Permit conditions: ❑ No expiration
Authorized State Agen° ~ 21,,. ,i Date: 5-- SEE ATTACHED SITE SKETCH
The issuance of this permit b the 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 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:-. /Sf~,~Sn~J PROPERTY LOCATION: 3-4 ~7_&Alx~
SUBDIVISION <t,~,,r~ LOT # 3 L
Facility Type: 5r1r% 5f New Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? El Yes No
Type of Wastewater System' ZS%, tz O cxz a~ .S x5 ?4.6-- (Initial) Wastewater Flow: 3G0 GPD
(See note below, if applicable ~yl~
2r,~oRUc~w~ Sr~t,~ (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size 2606 gallons Exact length of each trench !tea 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.. Zq- t8 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 in h b I
Conditions:
Aggregate Depth:
c es a ow plpe
inches above pipe
Z inches total
**If applicable: l understand the system type so
ecl
11"ed %r different from the type rpeci6ed on the application. /accept the apeciFcationa of this permit
Owner/legal Representative Signature: Date:
Thi< fnnnmrrinn A„rh,. ,.6;- .
ra 1, r-4 .1 1- - inangc). lilt wnaruaion numonzanon snap not he transferred 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 Disnosal and in the rnnditi- ~f thi, -a UP ATTArurn CITL Mlrru
Authorized State Age t- Date: 5--6-10
Construction Authorization Expiration Date: S
HTE# 10 -57- 2LI3 2 Lf Permit # -2!!5 7 'f 8
f1cailett CollntY I)epartnlent of Public He( lth
S'ite S' ketch
PROPERTY LOCATON:.~21y3q 13•..t dpi ~bJ_,2p
ISSUED T0: -,P SUBDIVISION F LOT # 3Z
Authorized State Agent: Date: S =(p -/b
6w-
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Z~C-"w
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 5 - 3 a
Proposed Facility: ! Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: lic El Individual [I
Evaluation Method: [Auger Boring ❑ Pit
Type of Wastewater: aSewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Z/ _s-,
Property Size:
Well ❑ Spring ❑ Other
❑ Cut
❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
structure/
Texture
.1941
Consistence
Mim*lo
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
dt LTAR
1
L, i7.
v ~ !a
Si_
~
~•L,JJap
v -3o
L
L L''j
a
SL
6•~ rrP
Orr-
q::L-
ef ak
o
L
-
L ~"ff
b - 18
f L
~L N3r..q"
Description
Initial
S stem
Repair S stem
Other Factors (.1946):
Site Classification (.1948): CI'S
Available Space .1943
Evaluated By:
System Type(s)
°v' ^
v Odiers
Present:
Site LTAR