IPACHTE#/b'S Harnett County Department of Public Health 26094
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
jjPROPERTY LOCATION. -Se /1j2~ ontl~__~d
ISSUED TO U- ~ U/-rO~J S SUBDIVISION D .J Y LOT #
NEW V REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
ry~~l
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Z"'No
Pump Required: ❑Yes L!1 No ❑ May be required bo on final location and elevations of facilities i
Type of Water Supply: ❑ Community ❑ Public E2 Well Distance from well c)_ feet Permit valid for: VFive years
Permit conditions: ❑ No expiration
Authorized State Agen ,-y .1~ - Date: 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, .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: /AOX0700 4M-10J ~ PROPERTY LOCATION:, zW7z3 %y2/5.•0 1 'eg/J
SUBDIVISION LOT #
Facility Type: 9/New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 24o
Type of Wastewater System** (?47~j y~ (Initial) Wastewater Flow: 3&)Q GPD
(See note below, if applicable
Cd-)3 U &A) (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /D8 D gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: ( Feet on Center
Soil Cover:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
_ inches below pipe
z- inches above pipe
inches total
**If applicable: /understand the system type soecifed is different from the type speciped 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 chancre in ownershin of the site Thic
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 tL Date: C C~
Construction Authorization Expiration Date: t f -1577- `S"`
HTE# /D -S = Z 5-1 5- Permit # 24y 2 5'
Harnett County Department of n iblic Health
Site Sketch
PROPERTY LOCATON:~~
ISSUED T0: rsT_o~} uZl SUBDIVISION /)dX'-C~- LOT #
Authorized State Ag
Date: P ®w
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: -
Address: Date Evaluated: I L- L"i_L
Proposed Facility: ',+-f~) Design Flow ( 1949)• 31a---Z>
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Location of Site: 0:2-)-Z23 Property Recorded:
Water Supply: aPublic ❑ Individual Well ❑ Spring ❑ Other
Evaluation Method: 0 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑-'Sewage ❑ Industrial Process ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
k LTAR
T
L
e -6o
s(A
~
11-31-
SC cr
~1c
30'' 3?r ►ot2
13
~Gr
(ate-c.~.l~,
35L.
v
3
3
y Y~
o -
b'", A
y~ 3. z
33a y
ze
Description
Initial
S
Repair S stem
Other Factors (.1946):
Site Classification(
1948): tS
Available Space .1945
.
Evaluated B
G~
System Tyks)
y
Others Present:
Site LTAR