IPACHTE# /D - S -zy8ys Harnett County Department of Public Health 2 6 0 6 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
v. PROPERTY LOCATION: S'Z
ISSUED~~ TOO- 57 <f 7,i Z~' SUBDIVISION LOT #
NEW L~J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M0DUG,4g
Proposed Wastewater System Type:
Projected Daily Flow: 31.1) GPD
Number of bedrooms: -3 Number of Occupants:
max
Basement ❑Yes W No
Pump Required: ❑Yes ❑ No E /M e required#ed on final location and elevations of facilities
Type of Water Supply: ❑ Community L~l Public [if Well Distance from well 1190 feet Permit valid for. Q/ Five years
Permit conditions: ❑ No expiration
Authorized State A Date: "7 - Z 3 - SEE ATTACHED SITE SKETCH
The issuance of this p l b 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 it 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: S T/d PROPERTY LOCATION:
SUBDIVISION LOT # Z-8_
Facility Type: D l New Expansion ❑ Repair
Basement? ❑ Yes' Ed No Basement Fixtures? ❑ Yes 12/No
Type of Wastewater System** Z'S%/Z(- hUGZo%-)I-Ir (Initial) Wastewater Flow: GPD
(See note below, if applicable
;i6ftA/6111- A (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 4,[ U U gallons Exact length of each trench D
_ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 67 inches
Maximum Trench Depth of: 2-1n inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: t~D~o ~~~c Z_ inches total
**If applicable: / underrtand the system type specified is different from the type specified on the application. / accept the specifications 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 ent: Date: 7 - 23 -t 0
Construction Authorization Expiration Date: -7 - z3 ~-r S
HTE# Jb- S- 2~f g ~fS Permit # 2 (Oo(9
Harnett County I)epartment of l'itblic Health
Site Sketch
PROPERTY LOCATON: /fwy S 2
ISSUED TO: / r,z SUBDIVISION LOT # Z,9_
Authorized State Ages Date: 7 - 23 - ! b
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Department of Ewaronmenk Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property
ID:
Lot 0:
SOWSIT>Z )EVALUATION
File a:
for ON -SIT Z WASTEWATER SYSTEM
Cade:
Owner: Applicant: Zyo y5'
Address: Date Evaluated: 7.2 - a -7
J
Proposed Fwwt): `k,trt Deslgs FIOW (.1949): 3c..o
Ptopert~ Size:
Location of Site: Fropetty Recorded:
water su
lj► (I'
pp
P fie ❑ Individual
Well
El Spring
C3 Othe
Evaluation Method: Auger Boring El Pit
Type of Wastewater: S
ff~
3
Cat
r
ewage ❑ Industrial Process
[
Mixed
P
R
O
P
[
SOIL NORFHOLOOY
1940
OTHER
L
.1941
LaKUMp Horizon
PROFIjg FACTOR
posidew 91opn'X (D~eptlt 1941 .1941
Str
h"
.1941
3011
1943
.1914
ua
Condrtem
To* Miurrelo
Wetrte>tl
Color
soil
14
Sepro
1 ` z% o -1-1 5L
,
Cl
ye l
so& s_ vt yjgµ
Z6Z H S~
I- ~'l u
I,-.
4 1!'5'=" FstrF-
.1944 AVft
Re* 060
Horis. A LTAX
3 ,-iB
10- o Utoys- ~ ff~
Other Factors 146-F-077
Site Classification (,19482
Evahated By: <7-,
Others Premme