IPAC RHTE# ~ f - 37'- /Vf~r/Z Harnett County Department of Public Health 2 5 2 9 6
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
-
-
PROPERTY LOCATION: S /2Z CG, J
! ~.F.
~
ISSUED TO )o.
roc J ~tJ SUBDIVISION S c.kc r t', ~_O: if k , ~-f
LOT #
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authori
,
zation Issuance:
Type of Structure:
A
o V y ie
Proposed Wastewater System Type: O
&CY6 -Cf.t 0~ r c,_
Projected Daily Flow:
c2 `40
GPD
Number of bedrooms:
-
Number of Occupants: y max
Basement ❑Yes
L4'No
Pump Required: ❑Yes
El No
,
[?<y be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
❑ Public 2"'Well Distance from well feet Permit valid for:
ive years
Permit conditions:
❑ No expiration
Authorized State Agent:: k S_ X ✓ - Date: ~~~0 0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, 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, .1957, .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: ~~.,k e r r It f PROPERTY LOCATION: 5d ! `1/z
SUBDIVISION Tlt. l L , y 1: ~C ..1} LOT # _
Facility Type: ?---New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System* ~ ~~a ec~ ~t ~t(_r J-74- w. (Initial) Wastewater Flow: o~ V0 GPD
(See note below, if applicable yy /
' L/ LTr wiv., - (Repair)
Installation Requirements/Conditions Number of trenches -7
Septic Tank Size O00 gallons Exact length of each trench -70 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: "7 c/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: d/_(.I'_ do Cor'Vvt-sl,
(-o T r- o ,_,w o s-k Y rc
Trench Spacing: 9 Feet on Center
Soil Cover: /z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
J" - inches total
**If applicable: / anderstand the system type specified it different from the type specified on the app/ication. / accept the specifications 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 Authomation shall not ho trandarrad whan tMra i, a r6- ma -ks r .h . Tti:.
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 nermir tFF ATTAfHFn CITF Uffirm
[Authorized State Agent:.. Date: ~f
Construction Authorization Expiration Date: /Y
HTE# 7 .s,5-R- Permit # ~ rcti q 1,
Harnett County Depa lment of Public Health
Site Sketch
PROPERTY IOCATON:_C kr-.A,,-r L 4 14•
ISSUED T0: SUBDIVISION J ~r E. yJ~ll~:al LOT #
Authorized State Agent: f, Date: ZZ27/z6 a q
1po~t'
v
r
P~f
~ ~ tJ
0
~0
9
,4-1~
/ AQ
c
-4-
0
ueparUnenI UI CI IV IIVillIIV'-1, / icon v vu.
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):
[ j Public (J Individual
[ J Auger Boring
[ ] Sewage
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well ( ) Spring (j Other
[ J Pit [ ]Cut
[ j Industrial Process [ J Mixed
P
R
0
F
OIL MORPHOLOGY
.1941
.
OTHER
PROFILE FACTORS
-
L
E
#
.1940
Landscape
Position-
Siope%
Horizon
Depth
(IN.)
1941
Structure/
Text re
1941
Consistence
Mineralogy
.1942 .
Soil
Wetness!'
Color
1943
Soil.,
Depth (IN.)
.1956
Sapr6'
Class
„..1944
Restr
Horiz
Profile '
Class,
& LIAR
y2
C
-7-
e
Description Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: