IPACHTE# 09 -r- ~«IF Harnett County Department of Public Health 2 5 2 6 7
Improvement Permit
A building permit cannot be issued with only an IrgProvement Pe t
j
S-ILI Z0
~
ISSUED
/
PROPERTY LOCATI :
1 ca
~
TO:
SUBDIVISION rz~ «c> e a./tAf
LOT #
NEW
_
REPAIR ❑
c EXPANSION ❑ Site Improvements required prior to Construction Author
`
ization Issuance:
Type of Structure:
c/,2
Proposed Wastewater S
ystem Type:
C~ Ue ^
Projected Daily Flow:
6 G
GPD
Number of bedrooms: -
~
~
Number of Occupants: max
Basement []Yes
I~ No
Pump Required: ❑Yes
❑ No
B" ay be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
E?-Tublic ❑ Well Distance from well feet Permit valid for.
8'Five years
Permit conditions:
❑ No expiration
Authorized State Agent: _ ~ ~w ~ Date: &Z- _/z00 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by !h~ih rtme nt 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, .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: PROPERTY LOCATION: / Zo l
SUBDIVISION O•e~o e c--f LOT #
Facility Type: 77~FQ I~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes CTNo B},ement Fixtur s? ❑ Y ❑ No
Type of Wastewater System** e _rj~_ VCS.- _ (Initial) Wastewater Flow: d GPD
(See note below, if applicable
°-1-'lz.,4- ' t '_V'_ (Repair)
Installation Requirements/Conditions Number of trenches 2_
Septic Tank Size CO 0 gallons Exact length of each trench -2,57- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: R11 'c,7U inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: g Feet on Center
Soil Cover: /2--/6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
l2 inches total
*If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of thi permit
Owner/Legal Representative Signature: Date:
°r-• „ F-" P- 11-t -It uimigM me consrructon Rumonzanon snan not tie transterred when there is a change in ownership of the site. This
tonstrucuon Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this pe mit SEE ATTACHED SITE SKETCH
Authorized State Agent Date: Construction Authorization Expiration Date: 2 f
HTE# Permit #
Harnett County Department of I'~lblic Health
Site ketch
PROPERTY LOCATON: 5S, A,2 l
ISSUED TO: ~~ePto~~ ftc ~cr SUBDIVISION o •or'<~c Tc t LOT
Authorized State Agent;, - Date: 2 Z 2 cc y
Jl~
0
lit
f
).7
gj ,~uc- ci,
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
m-public [ ] Individual
[~~er Boring
Sewage
Property ID:
Lot
File
Code:
Applicant:
Well
[ j Pit
[ j Industrial Process
Date Evaluated: q l2-t lZ,,4
Property Size:
Property Recorded:
Spring [ ] Other
[ ] Cut
[ ] Mixed
P
R
O
F
-
SOIL MORPHOLOGY :
.1941`
OTHER.
PROFILE FACTORS
l
L`
E
#
.1940
Landscape
Position%
Slope%'
Horizon
Depth
IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil •
Wetness!
Color
1943.
Soil .r
Depth (W.)
.1956
Sapra`
Glass
.194,f
l Restr•
Horiz
Profile
Class
& LIAR
G- -f
V ~G ATV?
~2
C_ fI-
C, A"r
c- rs
)C.
y~
f
L ~f~
c-
Lf
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
` O
a
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: ~1
Others Present: