IPACHTE#-s--Harnett County Department of Public Health 26090
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Sf- I q G l /l fL
ISSUED TO/ /C 1/-Zzlot4 SUBDIVISION LOT # 3 R
NEW RI (E AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 515Z-A
Proposed Wastewater System Type: D ucjL4->Z~
Projected Daily Flow: ~knb GPD
Number of bedrooms:- Number of Occupants: n° max
Basement ❑Yes -Ai o
Pump Required: ❑Yes ❑ No ZMayy/be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IJ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: 12 live years
❑ No expiration
Authorized State Ag Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by he 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 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: Z-ZW 0~- P4-N%/=l PROPERTY LOCATION:
tSt~!°f~~ 1 /lcrf-~Lc~ t~
SUBDIVISION LOT # 3
Facility Type: CZ"/New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes [No
Type of Wastewater System** 2r7.694*,>~ &TYAJSa ~ tie, (Initial) Wastewater Flow: q60 GPD
(See note below, if applicable
Z 5O/~, c26-6-U,f~ 1-7 IJ (Repair)
Installation Requirements/Conditions Number of trenches Z.
Septic Tank Size /200 gallons Exact length of each trench 20 U feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. Zy's'" 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
Aggregate Depth: Z- inches above pipe
Conditions: /2- inches total
**If applicable: l understand the system ttpe specified is different from the type specified 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 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. Sit AI IACHLU SITE SKETCH
Authorized State Agent. Date: /1- ID- IV
Construction Authorization Expiration Date: 0- /a -I s-
HTE# /O - ° ZS S-N- Permit # 090
Harnett County ]Department of I-Niblic Health
Site Sketch
PROPERTY LOCATON: ~/I / YSIr /~s/~~
ISSUED TO: ,j 1 SUBDIVISION LOT
Authorized State Agora Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILJSM EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot:
File
Coda:
Owner. Applicant:
Address: Date Evaluated: / 1 -g / a
Proposed Facility: *F_D Design Flow (.1949): Y96 Property Size:
Location of Site: Property Recorded:
Water Supplg; ~ 1lC ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ~ger Boring ❑ Pit cut
Type of Wastewater. ❑ Sewage ❑ Industrial Process H Mixed
P
O
F
1
1940
SOIL MORPHOLOGY
•1941
OTHER
PROFU FACTORS
L
9
4
Landw apr
Pwitioo/
slope K
Horizm
DV*
(Im)
• 1941
Strueftw
Texture
.1941
Condstom
Wnmlo
.1941
sail
WeMnd
Cola
.1943 .1946
soil Sal"
DiAmm) CIA=
.1944
Read
Hoais.
Proms
CAN
A LIAR
J~'
L 3°~b
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y-
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45
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SL
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<I-
(seder Factors (,1946)
Site ClUsiScadon (.1948) FS
~ Evaluated By
Others Present: