IPAC R with attached reportHTE# 07-,5=uVY4k Harnett County Department of Public Health 2 5 6 0 7
Improvement Permit
A building permit cannot be issued with only an Improvement Perm
PROPERTY LOCATION: S-4 / UdJ d
ISSUED T0: C ~tff v k iA -e.,.~" SUBDIVISION 4 • ^t LOT # zoo
NEW 1?' REPAIR ❑ f EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5F 0
Proposed Wastewater System Type: C a ~J c
Projected Daily Flow: ~7 if. 43 GPD
Number of bedrooms: J Number of Occupants: L max
Basement ❑Yes RrNo
Pump Required: ❑Yes ?"No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for. ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: we Date: / z°Q `z 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, 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 T0: Cav 1 crl L~ c+.~~c~~/J~cc PROPERTY LOCT /~~cY~l
SUBDIVISION oa f LOT # 6
Facility Type: k New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C~ a A. V Z e't __Q_ (Initial) Wastewater Flow: GPD
(See note below, if applicable (
C-Q,ttip, t", (Rannirl
Installation Requirements/Conditions
Septic Tank Size ZOO gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
tr.~c,.~-ter- ~
Number of trenches
Exact length of each trench `7 5- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: _2 q_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
M.v f-~- b ~ l O
Trench Spacing: Feet on Center
Soil Cover: 42, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
6 inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specired is different from the type specified on the application. / accept the specillwions of this permit
Owner/legal Representative Signature: Date:
-J- ,p ICYULduOn n use she piao, pia[, or me mtenaea use changes. ine construction Aumonzation 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
C /
Authorized State Agent v' Date: ao
Construction Authorization Expiration Date: t 6/I
HTE # q`14 /C Permit # aZ r-C 07
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: / l (-J7~W'1!
ISSUED T0: oaf ell Lox t s t ~c~ ~.e~ SUBDIVISION LOT #C
Authorized State Agent: ; n =C,
'-~.Date: %{1
r
Ij t
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s" , t
~j►F ~j f~.. ~ vet
SOU'1'L EAS`1EN SO[L & LNVY.ItONM +NTAL ASSOC, INC.
PROVOSLX) SUBS UX FACE WAS'lT DISPOSAL SYSTEM_ DETAIL SX.-XEX"Y
S1)B1)1VISION 60-0
INITIA_l-, SYSTU 16al2 -'l_-w
I)1SI`t2IBUTION P- fax
BENCHMARK 100, 0
NO. BEDROOMS /j
zy
LOT
TkEPA mot°w ~~d~ ~
DISTRIBUTION 12-t--,
LOCATION LINt+ VI'MI (Ot-lolz VA- VAIJON' ACTUAL !_aNi',NG'1'la
4. ~i9"TL
BY DATE
2) Ill 32&MKs
4
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Uepartillentul clivil Ullllluilt, r1ed1111, dilU 14dtU1d1 MtebUU1t 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):
(a~Pubiic O Individual
I IZ ger Boring
[i)5ewage
011Ctl1.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well (J Spring [ j Other
[ 1 Pit Cut
(J Industrial Process (j Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
0
.1940
Landscape
Position/
Slop
e%
Horizon
Depth
IN.
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942 .
Soi
Wetlnew
Color
.1943
Soil
Depth IN.)
.1988
Sapro
Class
.1944'
I Restr.
Horiz
Profile ;
Class
I& LTAR
r
l
S,cfc~
fok ~s c)
F fs
z-1_iL
/agar c
r;
/G Y,4 Zg4
l1P.1
4- `
G-
sr~~ lrz~ 1
l~
~1
a X26
~ ~S'
f ~ft/l
x9
lk C
C, VA iv
7-2-'l
G- LJ'
✓~.r
G-
J'
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
C C N..._
Site LTAR
1
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: