IPACHTE# //-'5-- z r Harnett County Department of Public Health
Improvement Permit 2 6 4 4 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: J `d 42e j
ISSUED T ~ SUBDIVISION LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M6 i) V S
Proposed Wastewater System Type: f 4.75V
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: (e max
Basement ❑Yes LJ No
Pump Required: ❑Yes ❑ No L Me required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: ICJ Five years
❑ No expiration
Authorized State Age a ` Date: 3 - 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth 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 a 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, .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: -46.544 bl+V PROPERTY LOCATION: i`~ I ct r 51"C4 - . t~
/ SUBDIVISION LOT #
Facility Type: mvb V C 7 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ER/No
Type of Wastewater System** Zsp/b X 0L lzf13 (Initial) Wastewater flow: 4:~,Q GPD
(See note below, if applicable
" (Repair)
Installation Requirements/Conditions Number o trenches _ I
Septic Tank Size /000 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z.`fi inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian, 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 ent: Date: ~a -3 41
r Construction Authorization Expiration Date: I'
HTE# 4;7-2(SJ I Permit # 2 X44 3
Barnett County Department of I'Vblic Health
Site Sketch
,AA
75"0
Dgmftent of Emrironmenk Health and Natural Resources
Divisioa of Environmental Health Sheet:
Shed: ID:
On-Site Wastewater SeWo® Lot Property
SOIIJSITE EVALUATION File 0:
for ON-SITE WASTEWATER. SYSTEM Code:
Owner. Applicant:
Address: Date Evaluated:
Pnww Facility: D Dealgp Flow (.1949): 3 G 6 Ploperty Size:
Locadott Sits: Propettj I~mrded:
Wate t $uppty • !1C ❑ Individual Well
11 Spring
Evaluadont Method: Auger Boring ❑ Pit.
Type oB Wastewater: Q- Sewage ❑ Industrial Process Dud
P
R
O
! gall. MORPHOLOGY dR
1 .1940 .1941 PROFIt 6$AO'P(
L Iar~duape Horizon .1941
9 Poeidod Depth .1941 .1941 Sotl a Slope i (1o) 043
S"Ch w CGIWde= Wetaed Soil
Temn M1aaalo Color
Dk3`j~ G d SL- a t ft3
❑ Other
.1956 .1941 Prolpti
9epro Re* Clem
Cleat Horiz. iLTAR
2 L - 3% J.r 5L ~5Ym P
o
3 3"1i c 20 SL. N S
~ Y1> ^
site clasdocadotl (.1948);
Evaluated By:
„ ~ _ ~ Others Present: