IPACHTE# , - s-- 3_. Harnett County Department of Public Health 2 5 2 6 9
Wrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: k r e i-
ISSUED~TO/: ~vr .r d ~tv.~tj SUBDIVISION r-a~ yr COT# 422
NEW kd REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0 s-,
Proposed Wastewater System Type: C C.tVt-x V.1
Projected Daily Flow:( GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Nd"No
Pump Required: ❑Yes ❑ No Sd be required based on final location and elevations of facilities
Type of Water Supply: El Community MaPublic ❑ Well Distance from well feet Permit valid for. 0 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: , Date: „2cie SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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, .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 T0: (wr~ era K/" PROPERTY LOCATIO . S
SUBDIVISION 17- LOT # /,2('
Facility Type: L) LR!' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C 1VZrt~: a~i (Initial) Wastewater Flow: GPD
(See note below, if applicable /
0_5'7, C~.~.:ivc..~-. •1 Srf~.~-~. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 600 gallons Exact length of each trench -7S' feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 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: inches above pipe
Conditions: ZJs', rc. r•~4J Cc AkJ A- , C' %Z inches total
**If applicable: l understand the tyrtem type tpeci6ed it different from the type specified on the application. / accept the lpecifcationr 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 it a rhanoe in nw-hin of rh, dm Thi<
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 Agent: .r Date:
Construction Authorization Expiration Date: t a7ci
HTE# 01 S - v~ (J Permit # ~ Y-,k 7 U
Harnett County Depa linent of Public Health
Site Sketch
PROPERTY LO(ATON:
ISSUED T0: SUBDIVISION / c ~4s LOT # X2C
Authorized State Agent: /L-~ ~ Date: J-/2c 1;&, C
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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):
[Public (J Individual
[ ~P~uger Boring
[ Sewage
Property ID:
Lot
File
Code:
Applicant:
[ ] Well
[ ]Pit
[ ] Industrial Process
Date Evaluated: J_
Property Size:
Property Recorded:
[ j Spring [ J Other
[ ] Cut
( ] Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L'
E
#
.1940
Landscape
Position/
Slope%
Horiion
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942 ,
Soil
Wetness/
Color,
1943
Soil
Depth (IN.)
.1956
Sapro
Class
.19"
Restr
< Horiz
Profile
Class
& LTAR
C' , y,,
ZJ-
AfC JP
q
r
'C'
C'
Iftif
G-
Ali- A/
Description
Initial System
Repair System
Available Space (.1945)
/
System Type(s)
C sr~~
I Site LTAR
Other Factors (.1946):
Site Classification (.1948): ~J
Evaluated By:
Others Present: