IPACHTE#08-s Z11-l~ Harnett County Department of Public Health 2 51 2 5
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /,SS-Z l .a 02.E 104
ISSUED TO• 7A/,ot H?iyimp a SUBDIVISION LOT # 3
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MO
Proposed Wastewater System Type: Z5% f2-1f ~J CITt,GQwYTr~~
Projected Daily Flow: Z#Sa GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No 0- May Required: ❑Yes ❑ No 0MMay required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fd' Public ❑ Well Distance from well feet Permit valid for. 0 -Five years
Permit conditions: ❑ No expiration
Authorized State Agent • Date: 3 - 5- - O 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Ith 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 layout
ISSUED TO: 50--- /ham (,,s,~ PROPERTY LOCATION: Sit /S3Z f G~ -t -
SUBDIVISION LOT #
Facility Type: / 2' New ❑/Expansion ❑ Repair
Basement? 1:1 Yes No Basement Fixtures? El Yes 1~ No
Type of Wastewater System" Zn iZF.-b tJU'?40 ~„sttis t~~ Ord ~ (Initial) Wastewater Flow: '6196 GPD
(See note below, if applicable
2570/0 i~ (Repair)
Installation Requirements/Conditions Number of renches -Z-
Septic Tank Size /Zoo gallons Exact length of each trench t -i' S feet Trench Spacing: f Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 18"O-r4-)e 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
If Aggregate Depth: Z inches above pipe
Conditions: rn+x lyr-h Pe-P -1H ! /L inches total
*`If applicable: /understand the system type specified is different from the type specified on the application. / accept the speci&ations of this permit.
Owner/Legal Representative Signature: Date:
- v„-.,- -J- - 11 lilt lilt pion, pidt, ur me mrenueu use cnanges. ine construcuon 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen Date: 3 - S - a 9
Construction Authorization Expiration Date: 3 - I y
HTE# D$ - S - Z t 1-7 Permit # 5" I a
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON: 3►t I W Z IL6
ISSUED TO: h/~) m, SUBDIVISION LOT
Authorized State Agent: .q-,~ Date: d S
a v'f- . Slb~t A 7~ s t~-4'
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater.
Property 1D:
Lot
File
Code:
Applicant: 2 6!'7-1~'
Date Evaluated: q-crp
l, ' t Design Flow (.1949): ~f Property Size:
Property Recorded:
[.1'Public [ J Individual [Well Spring (J Other
( f Auger Boring [ j Pit [ J Cut
[ j-cyewage (J Industrial Process (J Mixed
P
R
o
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
Sapro
Class
.1944
Restr
Hariz
ProfJle r,
Class;;;
& LTAR
1
Lei'/
,
Z
s° > r
~ S •
Z
T'
Z
L y~,~
e cc
x.C
30
~
te
L r
S
.
si.
d
y
Description
Initial Systevy"
Repair stem
Available Space (.1945)
System Type(s)
ZSr3L
Z
Site LTAR
~
- .
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: