IPACHTE# Harnett County Department of Public Health 2 5 2 6 6
Improvement Permit
A building permit cannot be issued with only an Improvement Pit
PROPERTY LOMt-a
ISSUED TO: ~ ~ tM e f SUBDIVISION e , "f
LOT # 7
NEW F,' REPAIR ❑ f EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: rc 0
Proposed Wastewater System Type: a°t Lfe,-- - : oN
Projected Daily Flow: t? 6,3 GPD
Number of bedrooms: J Number of Occupants: max
Basement ❑Yes ?10
Pump Required: ❑Yes ❑ No ' 'May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: "Five years
Permit conditions: ❑ No expiration
Authorized State Agent : Date: 2 2 Zoo 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Ith Depart ment inn y guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate goveit irning bodies in meeting their requirements. This
site is subject to revocation if a site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This perms subject to compliance with the prov sions 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, ASS, .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: ~y.., I y cry PROPERTY LOCATI N: a/,ZG (
SUBDIVISION l,r , .`.~c, e cJ un~ -LOT # 77
Facility Type: ~°cd E~_N_ew ❑ Expansion ❑ Repair
Basement? ❑ Yes 21~No Bass lent Fixture j? ❑ Ye~J ❑ No
Type of Wastewater System**c.t tfC rl ; o ~...X (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
Ca.S,,~"~'~-~ ~ /Ronairl
Installation Requirements/Conditions
Septic Tank Size 000 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Number of trenches J
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of-dil Jy
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
feet Trench Spacing: / Feet on Center
Soil Cover: /t`0 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions:
Aggregate Depth:
inches below pipe
2 inches above pipe
l2 inches total
**If applicable: / understand the system type specified is different from the type specified on the apo/ication. / accept the speciTcdtions of this permit
Owner/Legal Representative Signature: Date:
T1,4 G.,..r.,,,.,,,., A-k..;-;...... ..L:.
111 1-11 „ I'« N,a,,, F"^ "-flucti - umngn. nit Lumuucuon aumonzanon snan not De transterreo when there is a change in ownership of the site. This
Lonstructton Authorization is subject to comp!I a with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
C
Authorized State Agent: Date: .2 1Z Q Oc S
Construction Authorization Expiration Date: -2 6/~~
HTE# G~- ~17 Permit # 02,3~~ C Q
Harnett County I)epailment of Miblic Health
Site Sketch
PROPERTY LOCATON: lz~ ( a ticl~ral J~ c~_
ISSUED T0: c SUBDIVISION e to u LOT #
Authorized State Agen c , f Date: 2 Xcl
?t
f
1
2~ $ ~ /~-rcw I
f R
J
C~
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):
V Public [ J Individual
[ ~J Au r Boring
[ Sewage
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated: ~ ~2 ( Z~~
Property Size:
Property Recorded:
[ J Well [ J Spring [ J Other
[ J Pit [ J Cut
( j Industrial Process [ J Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
t
L'
E'
*
1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942.
Soil
Wetness/'
Color
:'.1943
Soil ;
Depth IN.)
1956
Sapru'
Class
1944
# Restr
Honz
Profile
Class
LTAR
G-0-7
&
L
00
If
~
o /Z 7
P f
3
2- q8
G- f'~
~nlf ~p
14"r
Description
1nitial System
Repair System
Available Space (.1945)
System Type(s)
;
Cc 4-V
Site LTAR
° e
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: "
Others Present: