IPACHTE# ~o-s z y~~o Harnett County Department of Public Health 2 6 0 7 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:34'L
ISSUED T0: i'~->►~--~~ ,gyp lc/,rf,~y,~_ s'k SUBDIVISION t.~illry,.2 LOT # ,4_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: n t~
Proposed Wastewater System Type: L'ol-,4 rJ
Projected Daily Flow: /dv GPD a• 5
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Lit No
Pump Required: ❑Yes ❑ No L1 M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E Public ❑ Well Distance from well feet Permit valid for. 2 Five years
Permit conditions: ❑ No expiration
Authorized State A G z'iQri
Date: S' -30 -T p SEE ATTACHED SITE SKETCH
The issuance of this perm' b e 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 taws 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, .1951, AM. 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 PROPERTY LOCATION/S/(
SUBDIVISION LOT # 4
Facility Type: _ cal LJ New Expansion ❑ Repair
w
Basement? ❑ Yes No Basemen s? ❑ Yes No
Type of Wastewater System** C_o-'.> y`z~---P (Initial) Wastewater Flow: /~X7 GPD
(See note below, if applicable
Cow (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench /d O
Pump Tank Size gallons Trenches shali be installed on contour at a
Maximum Trench Depth of: Z4P"
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
~ 7 inches above pipe
Z inches total
* If applicable: /under land the system type specified is different /rom the type specified on the application. / accept the soecAwionr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall 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 Sewa reatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen • C~ llnt Date: 8-34 - /D
Construction Authorization Expiration Date: b-30 --157
HTE# /D Permit # ,2 (eCD`7y
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: ZvC, / 574 J Ajs j ,
ISSUED TO: 4I,cj j~ SUBDIVISION GJAJK62, ~T # 4_
Authorized State Age • ~ Date: o `50 `!b
Uepartmuill ut cllvltui1111C t, riCd101, d11U NdlUldl Muzwu1t.,l:J 011GCt.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILiS1TE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM[
Owner: Applicant:
Address:
Proposed Facility: r~Q Design Flow(. 1949): `bd k'>25
Location of Site: (gM~t''~~ J
Water Supply: Pu is Individual Well
Evaluation Method: FJ Auger Boring [ ] Pit
Type of Wastewater: [ JSewage [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
Spring
( ) Cut
[ J Mixed
[ ) Other
P
R
o
F
SOIL MORPHOLOGY
•1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Son
Wetnese
Color
.1943
Son/
Depth (IN.)
.1956 ; .19"
Sapm Restr
Class Horiz
Profile
Class
& LTAR
1
m- zy
~
p
21t-
Ct,
f
wt<- ST,
Z
L
'L -
%onJo
3
c -
Us~tP
y- zy
5t.
Description
Initial System
Repair System
Available Space (.1945)
✓
r'
System Type(s)
(,u'
Site LTAR
-
Other Factors (.1946):
Site Classification (.1048): g
Evaluated By
Others Present: