IPACHTE# o-9-s--117Harnett County Department of Public Health 2 5 2 6 2
(marovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: It °r5`' /41 `~~yT
ISSUED TQ: e ~Tr cIjrct c SUBDIVISION LOT # 02,
NEW V REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /"I /I/
Proposed Wastewater System Type: Ccntte n cry
Projected Daily Flow: 7(a G GPD
Number of bedrooms: _J Number of Occupants: max
Basement ❑Yes 0No
Pump Required: ❑Yes Pict No ❑ May be required byed on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public t~f-' Well Distance from well /40 feet Permit valid for. Rtrve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~117~ 0~5 SEE ATTACHED SITE SKETCH
The issuance of this permit by t P~allh Department in no wa guarantees the ssuance 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, .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: e r~~ c PROPERTY LOCATION:
~ r 12/New SUBDIVISION ~ c ik LOT # a
Facility Type: M H /y Vo ❑ Expansion ❑ Repair
Basement? ❑ Yes C;KNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Ccs/L ✓C-.4-~~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
Cain L/ . ¢.A.el%-X (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ()od gallons Exact length of each trench FS(3 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. J.-P inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
ns: ~ C~. C-6-&/1
f ~1 a--F X'Z P , t S-Y J' t f o /oa f4
Trench Spacing:_ feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
[e Depth: - inches above pipe
inches total
**If applicable: /understand the ryttem type specified it different from the type tpeci6ed on the app/ication. /accept the specifications of this permit
Owner/Legal Representative Signature: Date:
-.,,-.o.,v,, „ -J- w n - pma, F t" it, tilt uncnaeo use enanges. ine construction authorization snau 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
i
Authorized State Agent* A/C a _4~ Date: 2G°P
Construction Authorization Expiration Date: 77 W C, f ~
HTE# d q- 5 = all 9c/ Permit #
narnett County Department of I-N
bite Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION
c
Authorized State Agent: "12"2- Date:
-r ~
J
,Zr ,~-J
blic Health
r --let / LOT # 2
/ 7 720c i
ueparnmum ul CIIVIt Ut 1111Ci11, rit:dlul, dllu IVdtuldl r1tibu Ultt7J
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ ] Public Individual
jkuyer Boring
age
at IMt; t.
Property ID:
Lot
File
Code:
Applicant:
ell
Pit
[ ] industrial Process
Date Evaluated: 41L
Property Size:
Property Recorded:
Spring Other
[ J Cut
Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
i
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942 _
SoH
Wetness/'
Color
.1943
SON
Depth (IN.)
1956
Sapm
Class
.19"
Restr
Horiz
Profile ,
Class
3 LTAR
z~
l -Q
Kvc,31
c-
Y-t 21, t/
-zq
c,- &J-
i~
zY-
r
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Can ✓
C Cf
Site LTAR
S~
Other Factors (.1946): _
Site Classification (.1948):
Evaluated By. -
Others Present: Q