IPAC RHTE#09%. = ; c Harnett County Department of Public Health 2 5 b 0 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI N: /011 /V10rlX rf d,
ISSUED T0: SUBDIVISION I t ~c LOT # _7V_
NEW i' REPAIR ❑ t EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 1FA N) S'c
Proposed Wastewater System Type:' ~F o ~J' f i~ve,
Projected Daily Flow: 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes LNo
Pump Required: LJ1e ❑ 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. P--Five years
Per it conditions: (
- el IJsT-_ fV C1" l C: f- Al ~ `I
~ El No expiration
Authorized State Agent:: ' ~t" ~ Y") C..,.:_ Z,f Date: `I Ize e ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by tttt!nealth Department in no way guarantees a 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, AN, .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 J
ISSUED T0:
Facility Type: _
kl New
PROPERTY LOCATION: .Sk 11
SUBDIVISION / i-it o,-cl LOT # q
❑ Expansion ❑ Repair
Basement? ❑ Yes 52"'No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** iva,P 4-~- ut ~~a it a ~ A (Initial) Wastewater Flow: lcC, GPD
(See note below, if applicable /
;o3 J n 4 a c+'. (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size CG G gallons Exact length of each trench S- feet
Pump Tank Size L' G gallons Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/-1/4"
Trench Spacing: _ 7 Feet on Center 0rG-` `f
Soil (over: 6,-/,2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggre ate Depth: inches above pipe
Conditions: r~s.•:~ ,tee llr~ t,, s~ •A /V Z, -A) IF C k-4%.
inches total
**If applicable: / understand the system type specified it different from the type specified on the app/icdtion. / 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 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 Agent: , Date: 7 /3 3 0 C
Construction Authorization Expiration Date: /2/12 C
SFA
HTE# C~ - aIs - l K" Permit # 62 1- C 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1 r LF .e d,
ISSUED T0: SUBDIVISION moo: d LOT #
Authorized State Agent: Date: .~'of f
! 1
_._.LIGI
rz
I
I I
CSI
I I 3s
ueparunent ul cnvnunnICnt, nCdlul, d11U Ivdtuldl r\Cauull,Ca
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:
[ JI ICCI.
Design Flow (.1949):
Public (J Individual
u Boring
;;ewage
Property ID:
Lot
File
Code:
Applicant: 1
Date Evaluated:
Property Size:
Property Recorded:
[ J Well (J Spring Other
[ ] Pit [ J Cut
[ ] 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
Sol
wetness/'
Color
.1943
SON _
Depth (IN.)
1956
Sapm
Class
; .1944
Restr
Horiz
Profile ,
Class
& LTAR
5
G 17,
1'~
V -.Al
>
hl
fc/
/
~is1
/J . 6
a -
6f
Uoc_ A4_~d
G-.r-
;
/L
G s~
16- -~4
SAC1J--C
PEy-.fyI'
/ 6 rC 7 { so
i
Description
Initial System
Repair.System
Available Space (.1945)
System Type(s)
Site LTAR
R
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:,5 I" L
Others Present: 6T