IPACHTE# 46 -5-- ~y Harnett County Department of Public Health 2 6 0 7 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION _.SG
ISSUED TO: y 61.G',4-zGa ~ SUBDIVISION -5-0 v T7t z~J
NEW REPAIR 11 EXPANSION ❑ LOT #
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: t ~ M t4 7c`~ X }
Proposed Wastewater System Type: 2S°/nrLr~rfc{~~y
Projected Daily Flow: ~f PyU GPD
Number of bedrooms: `l Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 2/ma ,Y'~e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community D Public ❑ Well Distance from well feet Permit valid for. L~'J R~Five years
Permit conditions: C6,/1
Lo r o~.vatC ❑ No expiration
Authorized State Age Date: 9 _ lq- /O
The issuance of this permit by a Health Department in no SEE ATTACHED SITE SKETCH
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 i 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: ~7-4L4 _ PROPERTY LOCATION: _1'L 'o
SUBDIVISION LOT #
Facility Type: Z$XS6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes CT No
Type of Wastewater System" Z~sa i2rbp4ze 1 (Initial) Wastewater Flow: v
(See note below, if applicable GPD
7_5".x, FL~~l) cD~Z dI~ ~cas -~f (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size / Zoh gallons Exact length of each trench / S~ feet Trench Spacing: 7- Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:
-_(,1__ inches
Maximum Trench Depth of: 7y"/'nA>1 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
Conditions: ee F Aggregate Depth: Z inches above pipe
inches total
If applicable /understand the system type specified is different from the type specified an the app/ 3&bn, / accept the rpecifiCAionr of thin permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use th
changes. The Construction Authorization shall not be transferred when there eis a change m 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 21=0 Date: /N- 1,6
Construction Authorization Expiration Date: _ ~i--fY--i 5-
HTE#/d-~- Zsy`3y Permit # a? 6
Harnett Comity I)el~artment of Permit
Health
Site 'Sketch
PROPERTY LOCATON:~( Ze c
isy
ISSUED T0: N ~t7 l1% SUBDIVISION LOT # /
Authorized State ADate:
v ~3E /ate ` a-f,~' cF'
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4- /It
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75;,2 zza7 C'A~r,Lel,~r-,cp
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYS'T'EM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): yyv Property Size:
Location of Site: Property Recorded:
Water Supply: [ublic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: [Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q-ewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Lmulscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Sttuchre/
Texhre
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1976
Sapro
Class
.1944
Re&
Horiz
Profile
Class
& LTAR
ltd -36
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s .
.ao ~7. !~li
3 L o ' fZ
12-3a
G' Ci
w
ZZ-?J~F 'l )~Mi
3G"
Description Initial Repair Sy Other Factors (.1946):
System Site Classification (.1948): ,-,~S
Available Space .1947 Evaluated By:
System a f 5°l+ z
Site LTAR Others Present: