IPACHTE#-09- s - Zz y 77 Harnett County Department of Public Health 2 5 4 2 0
Improvement Permit
A building permit cannot be issued with only an Improveme ermit
PROPERTY LOCATION 7 ,Zz lC/e
ISSUED TO: SUBDIVISION LOT #
NEW [Z' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F D
Proposed Wastewater System Type: Ctrk3V~r-u~.~fJ
Projected Daily Flow: Z(an GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ❑ May be required Wd on final location and elevations of facilities,, ,
Type of Water Supply: ❑ Community C7' Public Zel ance from well /tlar feet
z
t
Permit conditions:
Permit valid for:
IQ Five years
❑ No expiration
Authorized State Agen Date: 'mil- 2q~: SEE ATTACHED SITE SKETCH
The issuance of this permit by 0Health 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 A he 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, .1957, .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: 'IArZ/'C~ JOB ~G~ ~1 PROPERTY LOCATION: 21711 j3r6,P A1f=: f► A
SUBDIVISION C-4-1 0e, McL*,,,-8 LOT #
Facility Type: CZ New ~❑1 Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes (~'No
Type of Wastewater System** OrX) 7-(e> /&l (Initial) Wastewater Flow: 0 _ GPD
(See note below, if applicable
Z S9~ 1~V~D~ .~~(Repair)
Installation Requirements/Conditions Number of trench 3
Septic Tank Size 1 00() gallons Exact length of each trench 1 33 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Zy" `4Jo 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)
Aggregate Depth:
4 inches below pipe
2_ inches above pipe
/ Z inches total
**If applicable: / understand the system type specified is different from the type specified on the app/icdtion. / accept the specifications of thin permit
Owner/Legal Representative Signature: Date:
TI.:. r.._........:..., t...L_..:__.:__ ...1:__... 11
,,,,,il- 111-- v--, v-, 0. we mmnueu use uianges. ine construction nucnonzanon snail 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
Authorized State Age
~ Z Date:
Construction Authorization Expiration Date: - Z -
HTE#q ' Z Z `/77 Permit # ,2 S Y2 0
Harnett County Department of Ptbhc Health
v i to Sketch
ROPERTY LOCATON:51e/7!/
ISSUED T0:_~ ~D YcG,g,j SUBDIVISION fczjjrl~ LOT
Authorized State Age Date: 7 - 2-V
'
-)~S,
~~t f
13~
3y.
/ Aso ~
Z
o b
n
9Qi\~ N
r
c
~l
V
/l5'
std t7t~~ i3z~~ ~
D
R
i
E
uepa►trrtttnt ut aIIVItUllllitAIt, nadttlt, dltU IVdlUtdl rNtSDUUit.tJD olm"t. `
Division of Environmental Health Property 10:
On-site Wastewater Section Lot
File
SOILiSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: 21 `j 7
Address:
Date Evaluated:
Proposed Facility: 5
Design Flow (.1949):
'_544_0 Property Size:
Location of Site:
Property Recorded:
Water Supply:
rT--PZ6IC
(j Individual
( el /25~-9 ( I Spring
[ j Other
Evaluation Method:
[ I Auger Boring
Pit
( )Cut
Type of Wastewater.
( fAAM-age
[ I Industrial Process
( I Mixed
P
R
o
SOIL MORPHOLOGY
OTHER
F
•1941
PROFILE FACTORS
1 .1940
.1942
L Landscape
Fkfftm
.1941
.1941
sai
.1943
i9tfa
.1944 Pmob
E PosftW
Depth
SfrudwN
Consists
Webmwe
Soll
Sam
i
Re* Ciao
* S %
IN.
Texture
cow
N.)
Clue
limit 8 LTAR
I L Z%
v -
SL
L l9J ~'tv ft i~x- ~NTti1~
/t7 - BIZ SGL 4~ Q
n - {9 TL a 4 "o rtJ,0
111 1-1% /o -'o Scr oc n I *44_5 • P
►3
"S
' 3Y Z" J
Other Factors (.1946):
Site Classillcation (.1048):
Evaluated By:
Others Present: