IPACHTE# Ug-,S=aae~z Harnett County Department of Public Health 2 5 6 0 9
Improvement Permit
A building permit cannot be issued with only an Improvement P rmit
PROPERTY LOCATION: J-k /I! 1 /VIcu-kX led.
ISSUED T0: 1~ ~ F % ~+°'c SUBDIVISION Ar-k1F'1rc{ LOT # q
NEW i!r' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F J'r IA,
Proposed Wastewater System Type: Ca a~ e n~ c>tti
Projected Daily Flow: J b 0 GPD
Number of bedrooms: ..3 Number of Occupants: max
Basement ❑Yes VNo
Pump Required: ❑Yes ❑ No IN Ma be required based on final location and elevations of facilities
Type of Water Supply: Community Public ❑ Well Distance fro well~ feet Permit va for Cz3'~e years
PermiVconditions: 0 U Oakrs sec! ~n, ~ : Q I d ~ of ~~v6 :s- ~
t 4 ❑ No expiration n
EJ u : t{- o cCo~cA r,.v to s-, P a , -rF At a
C=-
F-V10 k
Authorized State Agent-.: Date: 11-7,40 Q7 SEE ATTACHED SITE SKETCH
The issuance of this peirm a Health 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 TO: kt P; gu'c PROPERTY LOCATION: 5-2
SUBDIVISION ds kZo--J LOT # 9
Facility Type: S-F I) New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Y ❑ No
Type of Wastewater System** C 0 -V'e..4 : t it ~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
CO A.fft.A-~~ c;,k.-C- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /000 gallons Exact length of each trench 3-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /k /8 inches
Maximum Trench Depth of: aq-c,7G_ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements:
ft. TDH vs. GPM
G
inches below pipe
Aggregate Depth:
inches above pipe
CInditioq,s: BT( y..~~Tc~-
c /"l'314- be-
G.:4 / 1 Q.C1' ~ /Q F~ 7y e XJ
/z
inches total
*If applicable: / understand the system type specified is different from the type specified on the application. / accept the speciflcations of this permit
Owner/Legal Representative Signature: Date:
ims construction Autnonzation is suntect to revocation it 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: ~L' G= ~J, Date: J p "Od
Construction Authorization Expiration Date: g a of
HTE# O q-
Permit # oZ S` C (3 g
Harnett Connty Depallment of ' iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: _ J2. 1 P.
SUBDIVISION S T
LOT # 9
Authorized State Agent: y
Date: 9 .7 2 0 0
~ t- I
i
f ~4
r
for k w6- 4 61-.
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISiTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater. [Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
L Wiscape
Position/
Slope %
J
U ~ l6
Horizon
Depth
(In.)
7 U
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
✓ /T j~~/~
.1942
Soil
wetness/
Color
.1943
Soil
Depth (IN.)
.1936
Sapro
Chas
.1944 Profile
ReW Clan
Horiz LTAR
VT
W~ Itritial Repair System Other Factors (.1946).
S 'tE° Site Classification (.1948):
Available Space .1943 Evaluated By
edam hpKs) w µ v
Site LTAR .17 Others Present: