IPAC RRHTE# -s Harnett County Department of Public Health 2 5 4 5 Q
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:1< `/3 7 /3.4'-114-1 . 15~
ISSUED TO- SUBDIVISION LOT
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 3164n GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ~Mae required based on final location and elevations of facilities
Type of Water Supply: El Community L Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agen . --f Date: //-/(.-07 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 taws 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: Yi 4.4--4 /il)~ 0,7-L ~ / PROPERTY LOCATION: ]
DIVISION Z'r'V LOT # i~
Facility Type: _ New Expansion ❑ Repair
~N0
Basement? ❑ Yes No Basement Fixtures? El Yes Type of Wastewater System** Z55~ ILA cTUZo-J y~ (Initial) Wastewater Flow: -Zy GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size 1Q60 gallons Exact length of each trench /Zd feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 30 > fig" 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: lP inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
/Z inches total
**If applicable: / undecrtand the ryrtem type .rpeci6ed is diKerent from the type apeci6ed on the app/ication. /accept the rpecificationr o/th/r permit
Owner/Legal Representative Signature: Date:
a u«~ RMIMunuoo a suulect m revocaton if me sire plan, plat, or the mtenoed use changes. the Lonstruchon 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 Ag Date: -/C. -a 9
Construction Authorization Expiration Date: iG-iy
HTE # - S-- Z I4, S-7 /Z R Permit # Z 5y S D
Harnett County, Depailinent of Public nealth
Site Sketch
PROPERTY LOCATON:-$!Z /YJ7
ISSUED TO: -=5"' lat _ rlh.o„ ~>Al 1%WC SUBDIVISION LOT # -
Authorized State ent:~
Date: If, - d ~
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Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
.ricca.
Property ID:
Lot
File
Code:
Applicant: Z16 S/ 7
Date Evaluated: 3- )5~- Zel
r Design Flow(. 1949): 3 Property Size:
Property Recorded:
[ Public I ] Individual (J I Spring [ ] Other
er Boring [ it Cut
[ Sewage [ ] Industrial Process Mixed
P
R
a
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS.
L
E
#
:1940
Landscape
Position/ -
Slope%
Horizon
Depth
(IN.)
1941,
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/'
Color-
..19 43
Soil ,
Depth (IN.)
.1956
Sapn:r
Class
.1944=
Restr`
Horiz'
Profile
Class
& L TAR
o -28
9..
'-t .tea P
-s55--
_Z
t'
a 3a
sc,
6~ .rs~P
30 _ Y Y
stl-
3%
-
1b'
Nr
,Z
-
pro'"
3
Description
initial S em
Repair S em
Available Space (.1945)
System Type(s)
Z 0/0
tF?-1Z8VAF:W
ISite LTAR
j f. I
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: