IPACHITE# 07-s=a~,1is Harnett County Department of Public Health 2 5 2 7 7
Improvement Permit
A building permit cannot be issued with only an Improvement Perm}~
PROPERTY LOCATION: Cs~~✓'ur Cfwcc~ /Cc).
ISSUED TO: C~ar SUBDIVISION LOT # /
NEW Y
REPAIR ❑
, EXPANSION ❑
Type of Structure:
Y
•2 8 ~qdl
Proposed Wastewater System Type:
CCSAL
Projected Daily Flow:
~3 y
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
E 0
Pump Required: ❑Yes ❑ No E~ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community VPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Er-Five years
❑ No expiration
Authorized State Agent.: l . Date: a 0t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Het 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 .19
50, .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: Cio e C4 o
PROPERTY LOCATION: CyP
"'t-t"3"
SUBDIVISION
LOT #
Facility Type: A 6 </e'
/
V New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
e
~
f W
T
C
ype o
astewater System
• @
On V
(Initial) Wastewater Flow: 3 C GPD
(See note below, if applicable
Installation Requirements/Conditions
Number of trenches
Septic Tank Size /000 gallons
Exact length of each trench -7 r feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. - /B inches
Maximum Trench Depth of. 18-00 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
Conditions ~~n~✓
ru~~o ~0 1 ~~F
Aggregate Depth: 02- inches above pipe
inches total
**If applicable: /understand the rystem type specified is different from the type specired on the applicuion. / accept the speci>`cations of this permit.
Owner/Legal Representative Signature: Date:
Site Improvements required prior to Construction Authorization Issuance:
1u LVf'WUU1m1 NummMdUOn 11 Sunfect to revocation it me site plan, prat, or the intended use changes. the Lonstruchon 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
Date:
Construction Authorization Expiration Date: Sao
HTE# O 9 's' 1 g0 Permit # 6-Z-7 -l
ISSUED T0:
Authorized !
Harnett County Department of F' tblic Health
Site Sketch.
/J- C imj, ,2J.
/ LOT
Date: c( 9.2 4 0 4
q 3
Department of Environment, Health, and Natural Resourc r Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: Design Flow (.1949):
Location of Site:
Water Supply: [ t blic [ ] Individual [ ] Well
Evaluation Method: ger Boring [ j Pit
Type of Wastewater: [ Sewage [ ] Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
Spring
[ j Other
Cut
[ ] Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
.194Q
Landscape
Position/
Horizon
Depth
(IN.)
1941
Structure/
Texture
1941
Consistence
194
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapro
.1944
Restr
Horiz
Profile
Class
<AR
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
r U
~citt/
Site LTAR
Other Factors (.1946):
Site Classification (.1948): If-
Evaluated By: /L--
71
Others Present: