IPACHTE# 0 9- Harnett County Department of Public Health 2 5 2 g 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~ 52 J / 7 g 141 'rj~ mod .
ISSUED TO c~c o ~ ✓,f att SUBDIVISION 14 i - VU 'L LOT #
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a 81CS-.t,
Proposed Wastewater System Type: ov~tfe.~ e~ Q
Projected Daily Flow: V Q. GPD
Number of bedrooms: 13 Number of Occupants: ` max
Basement ❑Yes
Pump Required: ❑Yes [R o~ ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f? Public ❑ Well Distance from well feet Permit valid for: E~<ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 7 Z-aQ SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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, pla( 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: Cw c)c ~c. ✓ S~ to PROPERTY LOCATION:
SUBDIVISION _-I ; yc LOT #
Facility Type: zp Ct L1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C a tf e.~, (Initial) Wastewater Flow: JG 0 GIRD
(See note below, if applicable
Ca t , e c. `.-Q (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 016b 0 gallons Exact length of each trench J-0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 02 0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
inches total
*If applicable / undeatand the system type specified is different /ram the type specified on the application. / accept the tpecirlwiont of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to reva"bon if thr cite nlan nlat nr rho int-AnA II« A-- Tha
a.. _ ,.u~~. u,~,u a vlall~[ III vn-J IF VI t1I, IIII)
construction Authonzabon is subject to com I e 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 Agen . Date: -2 CC-
Construction Authorization Expirati 2Z
on Date:
HTE# 09-5- -2233? Permit # IF?.
narnett County Department of Public nealth
Site Sketch
f PROPERTY LO(ATON: .5-4 6 9 /"1 c w4-.~ e e.
ISSUED T0: 1 do ~o. 'w fcrc~ SUBDIVISION LOT # c3~e~r
Authorized State Agent: Date: 7 Z° 05
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Department of Environment, Health, and Natural Resources
F.
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 [ ] Individual
[ ~Auger Boring
[ wage
Sheet:
Property ID:~
Lot
File
Code:
Applicant:
[ 1 Well
[ ] Pit
[ ] Industrial Process
Date Evaluated: 7
Property Size: l
Property Recorded:
[ j Spring [ J Other
[ ] Cut
[ ] Mixed
P
R
O
F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Positionl
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Colnr
1943
Soil
Depth (fN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
C' Is
G- /L
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
C
r ✓
Site LTAR
Other Factors (.1946):
Site Classification (.1948): .S_
Evaluated By:
Others Present: