IPACHTE# 09-5 =1Z rl? Harnett County Department of Public Health 2 5 2 9 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: //l/ MC'rb- A.
ISSUED TO: C~ ~-r,d eMcf SUBDIVISION R,5i, Qiarcl LOT # /07
NEW L' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sri rr '7 1/
Proposed Wastewater System Type: ~a~cucK :c Q
Projected Daily Flow: -716 Q GPD
Number of bedrooms: Number of Occupants: (c max
Basement ❑Yes 1~4'ao
Pump Required: ❑Yes [?"N-o ❑ May be required base on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public E ''Well Distance from well feet Permit valid for f5 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: c.~ ( . . Date: n ae SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees t e 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 TO: C1.1 w*,.44-tr,h4 /ee%,LtJ
Facility Type: J FD ew
Basement? ❑ Yes 14-lo- Basement Fixtures? ❑ Yes
Type of Wastewater System' a au Z'-'- ~ %t "-Q-
PROPERTY LOCATION: J~Z/// /
SUBDIVISION At_ , {c -0 LOT # -/0 7
❑ Expansion ❑ Repair
❑ No
(See note below, if applicable
C A uc"Vi z e; , J" (Repair)
Installation Requirements/Conditions Number of trenches ;L d , 3
Septic Tank Size /0010 gallons Exact length of each trench i ;~-g r J 0, feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow ~ 0 GPD
Trench Spacing: 9 Feet on Center
Soil Cover: /2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different /rom the type specified on the app/ication. / accept the speci6c3tionr 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 chance in ownership of the site. This
tonstrucuon Authorization is subject to compha r ith the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
C
Authorized State Agent: .3 _ Date: ~ZetC
r Construction Authorization Expiration Date: 1,2C' I q
1111911-11. 1--.1
HTE# Q 9 ° s = 2- 2-S!7 Permit # ~Sa 16'
Harnett County Department of Public Health
Site Sketeb
PROPERTY LOCATON: ,vl r~s
ISSUED TO: SUBDIVISION s o~ LOT # I C7
Authorized State Agent E` Ak , Date: t
JE,
uepartmem ul CIIv IlulunCltt, rltCdlul, dllu IVCLuIdI muzW-L.Cb
Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ 4bllc [ J Individual
( 9 Boring
( ewage
JI 1t:UL
Property ID: r
Lot
File
Code:
Applicant:
Date Evaluated:` 13 ` kI
Property Size:
Property Recorded:
[ J Well [ ] Spring (j Other
[ J Pit [ j Cut
[ j Industrial Process [ J Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
SON
Wetnesst
Color
.1943
Soil _
Depth (IN.)
.1956
Sapre
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
3-~ YC
V Tr
I
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
l ,t✓
-r
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: V
Others Present: