IPACHTE#0 7 a ~r Harnett County Department of Public Health 2 5 2 7 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: G ~c~ Yo2 I
ISSUED TOo ~~r~ an nc> a~y SUBDIVISION
LOT #
NEW Y REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Q b 3t(
Proposed Wastewater System Type: Ccetu"41 906rio,~
Projected Daily Flow: L CIO GPD
Number of bedrooms: S~ Number of Occupants: max
Basement ❑Yes NNo
Pump Required: ❑Yes 6y o ❑ May be required bb d on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 7 well Distance from well /00 feet
Permit conditions:
Permit valid for.
5~<ve years
❑ No expiration
Authorized State Agent:: / "w .J Date: G / 71oZ0a 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health Department in no w~ arantees 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, .19S2, .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: 4 Cct'nA0,1c'y PROPERTY LOCATION: GA/ V-12
~ SUBDIVISION LOT #
Facility Type: ~~i E New ❑ Expansion ❑ Repair
Basement? ❑ Yes V' No Basement Fixtures? ❑ Y ❑ No
Type of Wastewater System** (Initial) Wastewater flow: GPD
(See note below, if applicable
°tiyte.^ • e'_'k (Repair)
Installation Requirements/Conditions Number of trenches __7
Septic Tank Size 1,35-0 gallons Exact length of each trench - f feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _ 2 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 0/ Feet on Center
Soil Cover: /2, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
_ inches above pipe
inches total
**If applicable: / understand the system type specified is did/erent /rom the type specified o17 the app1iwion. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
you 1m---11 nouw~uaum~ - -1- W ICYVCAIIUII II Elie )Ile pldn, plat, or me mrenaea use changes. ine construction Authorization shalt 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. SEE ATTACHED SITE SKETCH
4
Authorized State Agent: Date:
.26i 5/
Construction Authorization Expiration Date: (/'F
HTE# U~j-S-olall (;F Permit # 02-r;z 7 C
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: o/V l/p- t
ISSUED T0: e her ~c>.t~ a- o•Y SUBDIVISION LOT #
Authorized State Agent: r, C j Date: ZZ Q q
F"a 4-. P-e. I
i
T
ls-~
y
11
G 14 `t Z (
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):
[ J Public [ J Individual
[V Auger Boring
[4<ewage
v1 11-1
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated: G
Property Size:
Property Recorded:
ell (J Spring [ j Other
[ J Pit [ j Cut
[ J Industrial Process [ J Mixed
P
R
o
IF
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position)
- Slope%
Horizon
Depth
(IN.)'
.11941"
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/'
Color
.1943.
Soil
Depth (IN.)
.1956
Saprur
Class
.1944
Restr
= Horiz
Profile
Class
& 4TAR
C
G✓
r
fr
t071'~ ~J~ ~
~ ~ Q
G-2Y
C-
G.
~ S
RJ- lA
3
G fly-
tf AJ ,14
e~ •f`~cf ~
~f
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
cc n
Cr NV
ISite LTAR
t
Other Factors (.1946): -
Site Classification (.1948): )
Evaluated By:
Others Present: