IPACHTE# G 9 - S- otk0 F3 Harnett County Department of Public Health 2 5 2 8 9
Improvement Permit
A building permit cannot be issued with only an rovement Permi~,._
PROPERTY LOCATION: 57_ ;.I kcl
ISSUED TO/ " GKA C~~. c cx~ SUBDIVISION LOT # 'J~7
NEW f~' REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -F 6-0 K VV Proposed Wastewater System T pe: C a.L Ue `,c h
Projected Daily Flow:GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Noo
Pump Required: ❑Yes E No ❑~May~ required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: /~JW Date: '7l /2ao y SEE ATTACHED SITE SKETCH
The issuance of this permit by ibelealth 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: Lr J ~dv vt 5~- r~ PROPERTY LOCATION:
SUBDIVISION '72/1 e A. 6. c e LOT # S/ 7
Facility Type: 19' New ❑ Expansion ❑ Repair
Basement? ❑ Yes 11/No B ement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** aeL V-A t c). (Initial) Wastewater Flow: t_3 GPD
(See note below, if applicable
cc 4 LA_It~ , 0 K 1:1-K (Repair)
Installation Requirements/Conditions Number of trenches 1Z
Septic Tank Size 060 gallons Exact length of each trench feet Trench Spacing: g Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 12 'd inches
Maximum Trench Depth of. c21 %3 L 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 b inches below pipe
//11 Aggregate Depth: p_ inches above pipe
Conditions: /w.K 4/y." A I rncf vK Qc. r.+k- J I
inches total
**If applicable: / understand the system type specified yl different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
mm---- „ -.1- to "-d-11 n we site plan, piac, or me mtenoea use cnanges. ine Lonstruchon Rutnonzahon 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 Agent:/ "L - ~y > Date: -7 T ~~c 0 5
Construction Authorization Expiration Date: %tol~~
HTE# 09- kl3 b,? Permit # d- 4~ F 9
Harnett Connty Department of l'~rbli c Health
Site Sketch
I, PROPERTY LOCATON:
ISSUED T0: r~. ~oti S < t•mv. SUBDIVISION 7~. z•~ ~e LOT #
Authorized State Agen w r Date: 7, o~
l f'`r
t cr-o c~.
ueparmittin uI ailvnulnuanl, r1CidlUi, dllu ivdwla r\ravulUda
Division of Environmental Health
On-site Wastewater Section
SOILSITE EVALUATION(
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ ,j~blic I ) Individual
[ ~J%w~r Boring
age
JI ftlalt.
Property ID:
Lot
File
Code:
Applicant: l
Date Evaluated: ~ r ~ I a
Property Size:
Property Recorded:
( J Well [ J Spring [ I Other
( J Pit (J Cut
[ J Industrial Process (J Mixed
P
R
p
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
9
.1940
Landscape
PositioN
%
S
Horizon
Depth
IN.
.1941
SMuduref
Texture
.1941
Consistence
MMera
.1942 .
Soil
Wetneser
Color
.1943
SON
Depth IN.)
.1956
SaI"
Clams
.19"
r Rests
Horiz
Profile ;
Class
& LTAR
^
~
L,
~
I
I
I
Description
initial system
Repair System
Available Space (.1945)
% .
System Type(s)
C
CC iti ✓
Site LTAR
c.
f Y
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: