IPACHTE# 07- r- ~2 i 7 gy Harnett County Department of Public Health 2 5 2 5 4
Improvement Permit
A building permit cannot be issued with only an Im rovement Permt!~
PROPERTY LOCATIIAN: /'z
ISSUED T0: SUBDIVISION jQ~ t<wl n.. LOT # /78
NEW k REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V&
Proposed Wastewater System Type:
Projected Daily Flow: ~o _ GPD
Number of bedrooms: 17 Number of Occupants: 6- max
Basement ❑Yes 94o -
Pump Required: ❑Yes to ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ublic ❑ Well Distance from well feet Permit valid for: CAF ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: 'e=XG ,e,f Date: .2Q C' ' SEE ATTACHED SITE SKETCH
The issuance of this permit by 4101'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: ~v ~deej ~i+ a PROPERTY LOCATION: SUBDIVISION n `ti 17
Facility Type: _ 5-A
hd'"New El Expansion ❑ Repair
-
LOT #
Basement? ❑ Yes No
Basemen~
Fixtures? ❑ Yes E) No
Type of Wastewater System*
/G
y
~d
(Initial) Wastewater Flow: r; d GPD
(See note below, if applicable O)
(Repair)
Installation Requirements/Conditions
Number of trenches
-3
Septic Tank Size 000
gallons
-
-
Exact length of each trench 5_0 feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover 6 - lb inches
Maximum Trench Depth of: Z8_2 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
M
c
E
C
diti
/
r
Aggregate Depth: inches above pipe
i.
r~
I
on
ons:
i
inches total
"If applicable: /understand the system type specified it different from the type specified on the app/icatioa. / accept the speciGcatians of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization k whiert to rpvnratinn if thn uto plan nlat nr tha intondaA A- - Th. r,,,,...... A,,.h,.d„6,,., h,n 6. ......l ....A ,.,k C _ _L___.
o
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 Agent: Date: /.7-4fc
Construction Authorization Expiration Date: 2 d
HTE # a1C 7 y ~ Permit #
Harnett (bounty Department of lli blic Health
Site Sketch
p PROPERTY LOCATON: Y cru
ISSUED TOE lj~~o-~ SUBDIVISION LOT # ! 7
Authorized State Agent: / .r 11(f.~ Date: .zI
Lie,
r ~
t
IV q0
1
i ate'
ueparullalnul CIIVIlui1111Ci1t, nCdltll, dllu IVdtuldl I'ICJUWGCO
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:
Design Flow(. 1949):
[Public [ ] Individual
(~]'A ger Boring
jSewage
JI ICCI. ~
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:.7(.~
Property Size:
Property Recorded:
[ ] Well [ ] Spring [ ] Other
[ ] Pit [ ] Cut
[ ] Industrial Process [ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
1941'
OTHER
PROFILE FACTORS
I"
L
E
#
1940
Landscape
Position% .
Slope%
Horizon
Depth'
(IN.)
1941
Structure/
Texture
,119411
Consistence
Mineralogy `
.1942:.
Soil : -
Wetness!''
Color
.1943
$oif .
Depth IN.)
.1956
Sapra
Class
.1944
Restr
Horiz
Profile
Class: .
& LTAR
11-If-All
f
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: