IPACHTE# 07-5-- 2135-3 Harnett County Department of Public Health 25291
Improvement Permit
A building permit cannot be issued with only an Improvement Perj~ggit
Q PROPERTY LOCATION: S!C aG ( t"a~d~gst. 0p
~i
ISSUED i0 ~s+~ 1/ •e Co.4S'fi~,c .arm SUBDIVISION C (,I , x, S-Q -p-i- LOT #`7!
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5~F J rc > 1t0
Proposed Wastewater System Type: ILE "2 ~ac uG 'I s fe.~.
Projected Daily Flow: ' 6 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes VNo ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. lve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Z zz::y ..7L,n! CA Date: `T //O/-Z60 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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, A% 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: c c C.tl' t-, PROPERTY LOCATION: 51- /2-a
SUBDIVISION Cl-r- .1c~~o~fotitf LOT #°7`
Facility Type: _ New El Expansion El Repair
Basement? El Yes 2""N o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: U GPD
(See note below, if applicable r_
0 r/7
Installation Requirements/Conditions
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
~e 4 uc. L yJ (Repair)
Number of trenches 3
Exact length of each trench (,0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 3(- -ZZ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
(`.,.r 4, s-
Trench Spacing: 9 Feet on Center
Soil Cover: -s 4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggre ate Depth:
r~c_~ ~ CUB ~c7
inches below pipe
inches above pipe
inches total
-LayL y't- Q USc' I 4,0 1-- U C C
Gr 1/) t C ft~%
J)Q
I **li applicable: l under tand the rystem type specired is dih`erent from the type specired on the application. / accept the specircations 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 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 A en -
g ~ Date: ~ a '2(X 9
Construction Authorization Expiration Date: /d d-C
HTE # C) q- rS = J.23,3 Permit # 2,5-4 `3 /
Harnett (county Department of Public Health
Site Sketch
PROPERTY LOCATION: 51- /213 / Icy, 4cl--O fc. e.
ISSUED i0: ~osaA K SUBDIVISION J~ c~h .r LOT # `7l
Authorized State Agent. cw Date:/Zo a S
i6f
~7L
4A 11'70C 0.
ueparU1 em ut cimoul Ul um, ""dull, dl1U IVdtUldt McZIUUlt. ,
Division of Environmental Health
On-site Wastewater Section
SOIL;SITE EVALUATION
for 0,N-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Design Flow (.1949):
Location of Site:
Water Supply: ~blic (J Individual
Evaluation Method: (~f ger Boring
Type of Wastewater. J Sewage
R
o
F
SOIL MORPHOLOGY
.1941
1 .1940
L Landaoape
E PosNIon/
0 S %
Horizon
Depth
(IN.)
.1941
Strucknof
I TeAurs
.1941
ConN,hrroe
f
O-//
G_
r
OI Mut. 1
Property ID:
Lot #
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ [ Well [ j Spring [ 1 Other
[ [ Pit [ J Cut
Industrial Process (J Mixed
OTHER
PROFILE FACTORS
.1942 _
Sod t943 i9ee t94t
Wets So9 S~ Re*
Color ' Depth (INJ Class florl.
Profll~
Ctsas
LTAR
s- - h
Other Factors (.1946):
Site Classification (.1048);/"
Evaluated By:r" E
r
Others Present: t
r