IPACHTE# OS - S - Z(ZG U
Harnett County Department of Public Health 2 51 21
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Z
ISSUED T(Y l3 i24,
j d, r /I
c C-6 m.) 0 /l
SUBDIVISION __P VIJ L,3 rz-og74r64
LOT #
NEW 9
REPAIR ❑
EXPANSION ❑
Grp Site Improvements required prior to Construction Authori
zation Issuance:
Type of Structure:
OFrrTCc ~JSr
14-09orti_-
Proposed Wastewater System Type:
Z ~ar~~IJ YY1 ~w,
_f
Projected Daily Flow:
3.5-6
GPD
Number of bedrooms:
Number of Occupants:
max
Basement ❑Yes
❑ No
Pump Required: Yes
❑ No
❑ M be required based
on final location and elevations of facilities
Type of Water Supply:
11 Community
Public ❑ Well
Distance from well feet Permit valid for.
/Five years
Permit conditions:
❑ No expiration
Authorized State Agen ~i~ ~~a~ Date: ! - L -7 'OS SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 a 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 TO: ZZLt IdE /n QC:nr,'-rl1 PROPERTY LOCATION: /~w ti YL
SUBDIVISION Au&,A,J s -rte ~.rt ! LOT # =V
Facility Type: 64qe-4,,1&3 6s -on CA/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2S"1o 17.Gb O J 5,.5 N(;!5- :r- (Initial) Wastewater flow: 357-) GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches_
Septic Tank Size Z000 gallons Exact length of each trench ~e) feet
Pump Tank Size 160 ID gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z`l-;1 ' inches
-3 _ (Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 2 Feet on Center
Soil Cover. to inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions:zk,t/r ~Z r~ y6 !/.~r/CS Z
6~ inches below pipe
2 inches above pipe
/7- inches total
**If applicable: / understand the system type specified is different from the type specifed on the app/ication. / accept the rpecilcationa of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a change in nwnershin of the city Thk
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 Ag t: Date: t - -Z
- b5
Construction Authorization Expiration Date:
HTE# ''S'~ 2I (ad Permit # -251-2-1
Harnett Comity- Department of Miblic Health
site ketch
PROPERTY LOCATON: z
ISSUED TO: SUBDIVI i rs~~JS~ u~-I LOT
Authorized State Age Date: / - 07-6Y
t
Y7
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: ~ Design Flow (.1949):
Location of Site: 4Z
Water Supply: ( Pub is [ ] Individual
Evaluation Method: [ Au r Boring
Type of Wastewater. [ , ewage
- -I.
Property ID:
Lot
File
Code:
Applicant: c_7
Date Evaluated: /_0 Property Size:
Property Recorded:
(j Well (J Spring O Other
[ ] Pit [ J Cut
[ ] Industrial Process [ ] Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L'
E'
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class'
dl LIAR
• as
° ~
~r~.-- I sit
F
Z
L
- a
SGr-°
Description Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By 7-'_
Others Present.