IPACHTE#OJ-5 - ZL37L Harnett County Department of Public Health 2 5 41 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATIONJ,C Z~ 9 7'1 Z s..-l 46
ISSUED TOO- 40X JA ~ w44. SUBDIVISION f v-r LOT # -A
NEW 7 REPAIR ❑ E PANSION ❑ Site Improvements required p for to Construction Authorization Issuance:
Type of Structure: SF D
Proposed Wastewater System Type:
Projected Daily Flow: Z fb GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes L!f No
Pump Required: ❑Yes ❑ No L J' ay e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lt1 Public ❑ Well Distance from well feet Permit valid for. D, five years
Permit conditions: ❑ No expiration
Authorized State Age a Date: -7-10 SEE ATTACHED SITE SKETCH
The issuance of this permit Health 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, 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 TO: 13DAJiJA E 7Z,zX4Jr,{63 PROPERTY LOCATION: _-4C Zcr,5 12
SUBDIVISION LOT #
Facility Type: 3 " New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes AN'o
Type of Wastewater System" C6-,J UCr+r-t il~ 1.-0 (Initial) Wastewater Flow:.? 1/0 GPD
(See note below, if applicable
Lf P lam' AVA . (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size /D0bo gallons Exact length of each trench (vb feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2Z'-. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
<o inches below pipe
Aggregate Depth: 2 inches above pipe
Z inches total
**If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the speci6cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is mhiert to rpmratinn it tho wo nlan Mat - rho mt-6,1 A- e. U. n,,,..... ; e.r...:..; . h.n
-o-- . . „ a ' i F ,gym. mo
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 Age Z Date: -7-1& -o 5
Construction Authorization Expiration Date: 7 6 1 `f
HTE# D- Z Z 39'L Permit # z -57112,
Marnett County Department of h blic nealtb
Site Sketch
PROPERTY LOCATON:,yC ZDo g /'yJ~ ~+af.-~ iGQ
ISSUED TO: a-k) 3 F cSUBDIVISION LOT # _
Authorized State Ag t~ Date:
f 7
I IZ~~-
(
7
,
3-1
>
~i0 VlAJ
1`
ueparu►ian►ui cfwnuinntln►, rlttdlUI, d11U 1`4dlUtdl r\t!DUU11„MJ .31111"1.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILrSITE EVALUATION Code:
for 0,N-SITE WASTEWATER SYSTEM
Owner:
Applicant:
723 5
Address:
it
P
d
Date Evaluated: 2,St.)-
y:
Facil
ropose
Design Flow (.1949):
?cle
Property Size:
Location of Site:
Property Recorded:
Water Supply:
[4'5ublic (j Individual
( j Wen
(j Spring (j Other
Evaluation Method:
144uger Boring
( j Pit
( )Cut
Type of Wastewater:
( J-86wage
( I Industrial Process
(J Mixed
P
R
o
SOIL MORPHOLOGY
OTHER
F
•1941
PROFILE FACTO
RS
1
.1940
.1942
L
E
0
Landscape
Po*NW /
S %
Horizon
Depth
IN.
.1941
ShwhuW
Texture
.1941
Consistence
mirm"llogy
Sri
Web"We
color
.1943
Son
IN.)
1 VA
S"m
Class
AN* Preps ; .
i Reek Class
Hoft a LTAR
1
S"~
° i0
SL
fx, IV J mi
,o -a
z
S~
O-1'(
'S~- c1
C 7- V v5lyr
IS"
Jq_ _'Crcr ✓d j m4s VV
.2
14C 6zt
f 2~~-Y s~ y 5
n,. G., 5• P, w
6 L'~ 6 S s►~ aN P
J
•_.Z) sc cr I 1,c.5-~? Zy-. 7's~/K' Z5,
Other Factors (.1946):
Site Classification (.1048): j'
Evaluated By:'L_..
Others Present: