IPAC7
HTE#,/0 - Z57ti~, Harnett County Department of Public Health 2607
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: Z-7 ti-
ISSUED ~TOr• /ZAe- . SUBDIVISION LOT #
NEW L REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFfJ
Proposed Wastewater System Type: ZS°~ XiG- uU ~ t g tiJ
Projected Daily Flow: .3 1, Z) GPD
Number of bedrooms: 0 Number of Occupants: max
Basement ❑Yes -C -
Pump Required: ❑Yes ❑ No 2 May be requireddbb d on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Ia Well Distance from well _ JOCK feet Permit valid for. 2 /Five years
Permit conditions: ❑ No expiration
Authorized State Ag <:f / Date: ~7 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .1955, .1956, 1957, .19% 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 T0: b4z y / lZe PROPERTY LOCATION: Z"76-
SUBDIVISION LOT # f
facility Type: _ Fb 10 New ' Expansion El Repair
Basement? El Yes No Basement fixtures? El Yes 2 No
Type of Wastewater System** ZS'/rte~rc, ,t(Initial) Wastewater Flow: ~w GPD
(See note below, if applicable
~
epair)
Installation Requirements/Conditions
Number o trenches ~a/L S
Septic Tank Size 6lSD-6 gallons
Exact length of each trench 60-'d256b` feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 30, M 0 inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft TDN vs.
GPM
Conditions:
Trench Spacing: Feet on [enter
Soil Cover: G Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
K_ inches below pipe
Aggregate Depth: Z- inches above pipe
/z inches total
**If applicable: / understand the system type specih'ed is different from the type specilled on the app/ication. / accept the specifications 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 Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag Date: / 5--i c)
Construction Authorization Expiration Date: 9 --/s`--- i S7
NTE# ZO ` Z 5"/ y(, Permit # .266 -7 7
Harnett County Department of Public Health
site, ketch
PROPERTY LOCATON:
ISSUED T0: hli2~17 /~e SUBDIVISION LOT #
Authorized State A Date: f- /5 -i y
-X-S i ff-;/ !ov' o f~C cf= -:5-f ~-L C.,
Y
v pfl,
n I
10 716, <I~-
i3~~
1 14
l~ bbd , Z
Isp,
ffwY Z7
Depattment of Eavirooment, Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property 1D:
Lot l{:
SOIUSITZ EVALUATION
File M:
for ON-SITEWASTZWATZRSYSTL%
Code:
Owner. Applies
Addresm Date Bvaluated: g - t 3 - e 'O
Propoaed Facilltr• 9-0--D De3lg>1 Flow (.1949r 3,&,6
Property Size:
Location d Sttac Froperty Recorded:
water3up* p' lac
Individual [I
Evaluation Methot user Boring Pit
Type of Wastewater: S
Well
.
❑ spring ❑ other
cut
ewage ❑ Industrial Protest
mbW
P
It
O
P SOU MORPHOLOGY
l9
OTHER
Hadzo~ 1941
L
PRO FACTOR6
B Po~itiod
D~ 1941 .1941
A
•1941
sod
-
1i4J
Slops K ~
l CorWdop
Texture Minrdo
webumd
Cola
.
.1936 .1944
sod Sepro Re*
D
At&
Cle»
~
iva -N. Clar Hair.
A LTAM
L '3~'6 O F►L EvGIJ
P
_4
z L OA sib sZ 6,ti,~r,~ P
A)l
=
ba4l
t .1
11.
Other Factors l 9462
site Clasftadon (.1948X )
Evahmtted By;
Others Preset