IPAC RHTE# / o- s_ Z*311z Harnett County Department of Public Health 2 5 7 5 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.-54 /NZ4o C:e2 i oti..
ISSUEDTO~ `f" S SUBDIVISION LOT # _ I
NEW Y' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: -Number f Occupants: max
Basement ❑Yes a No
Pump Required: ❑Yes ❑ No MMaa e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community r Public ❑ Well Distance from well feet Permit valid for. L'_( Five years
Permit conditions: En rka.r mt,? F~2,5r)4-(r ❑ No expiration
Authorized State A~-C~ ~I Date: 5~-L - / c~ SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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: SS454,11 ~tr PROPERTY LOCATION:
&/yZ(o
SUBDIVISION LOT #
Facility Type: 510 New ❑ 'Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes C2' , No
Type of Wastewater System" Z,9°16 2i-r--DU 7-4r)-) (Initial) Wastewater Flow: 3~6o GPD
(See note below, if applicable
Z1 r ' L~d S ~Z t~/~anJ (Repair)
Installation Requirements/Conditions Number of trenches / c
Septic Tank Size /ODD gallons Exact length of each trench 3D0 feet Trench Spacing: J / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of:/ >/6 - 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 6, inches below pipe
Aggregate Depth: L inches above pipe
Conditions: _ Cam- ~z~rr,~,ri, +[o /~(cc &Y,f rsL p~ - A) /Z, inches total
'*If applicable: / underrtand the ryrtem type rpecided it different /rpm the type fpecified an the app/icatian. /accept the rpecijcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be 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 Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
AA
Date:
Construction Authorization Expiration Date: 5- -Z5 - i s--
HTE# /0 2g331 /Z Permit # ~S -7S0
Harnett County Depailment of ll~iblic Health
Site Sketch.
PROPERTY LOCATON:.SC/Yz(, 60X- /Zl)
ISSUED TO:.54-5 l,,,, 4AP;,)C UBDIYISION LOT # /
Authorized State Age • G Date: 5 LS i 0
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Department of Environment, He.. and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: ZY33
Address: Date Evaluated: S74y->!o
Proposed Facility: 71 1::~ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Q~blic ❑ Individual ❑ Well
Evaluation Method: ( Auger Boring ❑ Pit ❑
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ 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
Shmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
do LTAR
G
D• 3D
_rL
Fit 6~L ~J?p1C'
50 -
2
L
0-/9
Ns,~
to- 10
5c-
4- fogy, 1ro
3
L
0-t2
st_
Cl- 4 V1,0e
,~•s
o -LY
`
tot-G,, -)s,oP
I y '16
36"
Description
Initial
S stem
Repair Sy
Other Factors (.1946):
Site Classification (
1948):f5
Available Space .1943
.
,
Evaluated By:
System Type(s)
Lam/
Others Present:
Site LTAR