IPACHTE#06)-5-a}"-36 Harnett County Department of Public Health 2 51 7 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: l.. gcle ~c f-0
ISSUED T0: 9 SUBDIVISION ~i ~~c~~sz c n~~~ arc LOT # u
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 970 (,2`b x6C~~
Proposed Wastewater System Type:
Projected Daily Flow: "A `~O GPD
Number of bedrooms: 4 Number of Occupants: max
Basement -4Yes ❑ No
Pump Required: ❑Yes ❑ No /1~ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well X00 feet Permit valid for. `Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 9 4y SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan 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 Improvemen rmit 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 T0: ~cA~T~~~~~ pup F PROPERTY LOCATION: P~o
SUBDIVISION yt)C~L F~2t-\ LOT # 'A -4,
Facility Type: 6d New ❑ Expansion ❑ Repair
Basementl- Yes Basement Fixtures? El Yes K, No
Type of Wastewater System**
G ;'0-A'
(See note below, if applicable
Qy mo`7 o
IsA ~GOUG~ td~} (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 1EX~ gallons
Exact length of each trench 100 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. lo- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:~~ loll;~a
(Initial) Wastewater flow: "'Wo GPD
Trench Spacing: I feet on Center
Soil Cover. tp- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
t~ Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified it dih`erent from the type specified on the app&ation. / 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 , rhanae in nwn-hin of rho dm Thi,
Construction Authorization is subject to camp ian`te- ' rove of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t
Co uction Authorization Expiration Date: t TLJ
HTE# COQ Permit # S ~ -l C)
Harnett Connty Department of 11 ~ bli c Health
Site Sketch
PROPERTY LOCATON: L C°
ISSUED TO: g~P.~ I ~C ~Gu~}r,0E SUBDIVISION U~~fl « G, ~r LOT # ~
Authorized State Agent v o~w~rt ~oc~5~ Date: 1 a8
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: $,60,V~Ni"
Proposed Facility: ,N'~ Design Flow L- i r C)-
~G~?CCc5
Location of Site:
Water Supply: Public [ J Individual
Evaluation Method: Auger Boring [ J Pit
Type of Wastewater: 'ice} Sewage [ J Industrial Process
Date Evaluated: la7 0`~
v.
Property Size:
Property Recorded:
[ J Spring [ J Other
[ ] Cut
( ] Mixed
R
p
F
SOIL MORPHOLOGY
1sa1
;i OTHER
PRO)FI' k FACTORS
r{ e
I
L
E
#
.1940
Landscape
Position!
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralog
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944"
Restr'
Horiz
Profile' x
Class
~i LTAR
aid
iy
`
05
3
I 1,"J9
.y
7
Description
Initial System
Re air System
Available Space (.1945)
System Type(s)
a-~ `tt9,
~
Site LTAR
- LN
_
Other Factors(. 1946):
Site Classification (.1948):
Evaluated By: C3
Others Present: Q~1 ~ S ,r G ~AS
• t~~~ G~+ ~Ft~ is