IPACHTE# lo- s-- zy3z. Harnett County Department of Public Health 26051
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION
y~ y E a
ISSUED TO: 7VWJ~) SgrL „ s c SUBDIVISION -inns.,, LOT # ZZ>
NEW L" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -1
Proposed Wastewater System Type: ZSDlo7oU2a~1
Projected Daily flow-, 360 GPD
Number of bedrooms: Number of Occupants: G max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Z Ma e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1?1 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for
ZT Five years
❑ No expiration
Authorized State Agent:: Date: S --2-L -t a SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 IayouL
ISSUED T0: PROPERTY LOCATION: sL t q3`I J-D ~tx1~ rA- rzz
/New SUBDIVISION ~H 36-,, LOT # Facility Type: S la Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? El Yes LiJ No
Type of Wastewater System'`* z!E%Q gg~(x2,r~-3 (Initial) Wastewater Flow: 36(~) GPD
(See note below, if applicable
2-5-'~b 0-G~ (Repair)
Installation Requirements/(onditions Number of trenches 41 Septic Tank Size 1000 gallons Exact length of each trench 7d feet
Pump Tank Size gallons Trenches shali be installed on contour at a
Maximum Trench Depth of., Z!t"^-a->c inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil (over: b Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
/Z- inches total
**If applicable: /understand the ryrtem type so ecl fed it different from the type specified on the application. /accept the rpecificationr 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
Authorized State Age 2 Date: '5-- 2-t* - r C)
Construction Authorization Expiration Date: '2 cQ - t3"
HTE# lb-~ - ZY3 Z Permit # 2.66) S 1
Harnett County Depailinent of I'ablic Health
Site Sketch
PROPERTY LOCATON: SC /5(: t ✓ a,y ~ Z?=:k
ISSUED T0: -r~ SUBDIVISION F,Wt,r-::4 LOT # _
Authorized State Age!6 Date: 6-- L6-'I b
V
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: c Bate Evaluated: S-2~"10
Proposed Facility: Design Flow (.1949): 36 6
Location of Site: Lef Zo Property Recorded:
Water Supply: ~ tic ❑ 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
#
LanAscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
sbmctwv/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
do LTAR
JD - y L
~ • c L
~
B
r jS'
4- Z
L.
o -r~l
sc
gwt Ac*
k•Z
3
~ ~
b • ZL
SL
tic. P
i _
c •c
S.P.
~C ~.tyt
3• L
Description
Initial
Repairs
Other Factors (.1946):
Site Classification (.1948):
Available Space .1945
Evaluated By:
System Type(s)
Others Present:
Site LTAR
Vs-
351-