IPACHTE# 0 5 r- Z?073 Harnett County Department of Public Health 2 5 4 0 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONk l7Uf GGiti9,~,t~' CA4 /46
ISSUED TO SUBDIVISION LOT # _ 4
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6 F_ 'J
Proposed Wastewater System Type: ZS% 17~fJUL~?1 ~,acf,~
Projected Daily Flow 3 ~ 0 GPD
Number of bedrooms: 7b,
of Occupants: w max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No req
uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community blic ❑ Well Distance from well feet Permit valid for. /Five years
Permit conditions: ❑ No expiration
Authorized State Agen G` Date: "O SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .195
4, ASS, .1956, .1957, .1958. and .1959 are incorporated by references in
to this permit and shall be met. Systems shall be installed in accordance
with the attached syst
m layout
e
ISSUED TO:
PROPERTY LOCATION: 111Z
0~i /~Irl C/.l~i~~ G!~-~Zd
SUBDIVISION G7nw,J LIT-
--i) LOT # 6
Facility Type: S F
New ❑jExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtu
res? ❑ Yes No
Type of Wastewater System**
(Initial) Wastewater Flow: GPD
(See note below, if applicable
M1k4 r -1W64)) /Z
It
V-0 (Repair)
Installation Requirements/Conditions
Number of trenches Z y
Septic Tank Size /6yd gallons
Exact length of each trench 0~ - IZ.Aet
Trench Spacing: ~ Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: ,30-> I $ 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:
/7- inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the rpeciicationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiert to revnration if tha city plan Mar or rho immnAnA i- A- , Tha r---t- ti.. .,....a ...u...G_..:. -
Construction Authonzation 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 Age t: / f Date: =24, -6 `7
Construction Authorization Expiration Date: v -2- &
HTE# 09 - S- Z z a -7 3
Permit # .Z~ 0 7
Harnett Cionnty7 Department of M blie Health
Site Sketch
PROPERTY LOCATON:-~;L/7D Gj
ISSUED TO: TYli~2l~ ~j- ~Z SUBDIVISION C~ tlr,-~ LOT #
Authorized State Agen Date: ~ I
sfr rx
- 7~~ "'Z)
/Z 0
ueparunantut eirvnuun1eni, rledlUI, dllu Nd•' •..J) neauujLdJ
Division of Environmental Health
Property`.
On-site Wastewater Section Lot #
File
SOIL,SITE EVALUATION Code:
for 0,N-SITE WASTEWATER SYSTEM
Owner: Applicant: ZZ6"7 3
Address: Date Evaluated: 5 X71 'd g
Proposed Facility: c Design Flow (.1949): (56.6 Property Size:
Location of Site: Property Recorded:
Water Supply: [ T~Publlc (j individual [ j Well Spring [ 1 Other
r
Evaluation Method: (
AAuger Boring Pit Cut
Type of Wastewater. LJ-gewage Industrial Process Mixed
P
R
O
SOIL MORPHOLOGY OTHER
F
.1941 PROFILE FACTORS
1
.1940
.1942
L
E
Landscape
PosifioN
Horizon
Depth
.1941 .1941 soM 1943 19Jtf ` ..1940 Ptofat
Shuclwe/ Consistence WetntaN'
E
S %
(IN.)
Soih 3ap~ Rasfc Claw
I Texture Mineralogy C010r ' Depth It4.) Class Horiz a LTAR "
L.
6-23
5L
Z
L
°
'
SL
VIL 61t /,f7
aif-~8
s~~
%t~n_ k-A
~l"6p °-/2
31.
Yo
SC-- Cc
C? 36^
~5
C L_
20 L
I
Zo J
~-GG.
,
I .
Description Initial Sys m Repair System
Available Space (.1945)
System Type(s) 2'o/
Site LTAR
'
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: