IPACHTE# QI-J'= zd ~0g Harnett County Department of Public Health 25617
Improvement Permit
A building permit cannot be issued with only zmArnpro ement Permit
PROPERTY LOCATION: op r• r 44. J-a
ISSUED TO: C,/t" r J- ~d t(I SUBDIVISION -t ~ U2.
NEW ? REPAIR ❑ EXPANSION ❑
Type of Structure: H
Proposed Wastewater System Type: G~IV~,t~ ~cn
Projected Daily Flow: J to 4 GPD
Number of bedrooms: J Number of Occupants: Q max
Basement ❑Yes L 0
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes C'1 N ❑May bee required based on final location and elevations of facilities
Type of Water Supply: El Community L?Public ❑ Well Distance from well feet Permit valid for. E~Tive years
Permit conditions: ❑ No expiration
Authorized State Agent:: c ; -J ~ _ Date: g Iva-Go g SEE ATTACHED SITE SKETCH
The issuance of this permit by the th 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 a 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 ft
ISSUED TO: t57tlf r Ida, PROPERTY LOCATION: 60(4 D-A.f And,
2-- New --t0T # _
Facility Type: A 4d
New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑-10 Basement Fix urW es ❑ No
Type of Wastewater System" CC V -A-1-:01, (Initial) Wastewater Flow:J( GPD
(See note below, if applicable
C A-dQ 0P1I`1~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /406 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 8/ d-V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
qA1 owe . A J"Vad° ca--- c~
Trench Spacing: C/ Feet on Center
Soil Cover _6 - /~Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
""If applicable: / mderftand the system type specified if different from the type fpeci6ed on the app/ication. / accept the fpeciflwioflr of this permit.
Owner/Legal Representative Signature: Date:
tins imuuuuwn ruwoneauun IN suutecr to revocation if me site plan, plat, or the mtenaed use changes. the lonstruction 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 Rulessff^or Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen / . Date:
Construction Authorization Expiration Date: 'c
HTE# C`~- 1;00q Permit # d,~-C/7
Harnett County Depai1 vent of 1"t blic Health
S+ite sketch
PROPERTY LOCATON: C%kp .1;ir
ISSUED TO: C V"J c ,r o SUBDIVISION 02
Authorized State Agen Date:
!~w- k G/l_,J-, h &
6y01.) [ f-yf ch,
3n
?y`
-kAldf Ajc-,l~
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISiTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Properly Recorded:
Water Supply: Public ❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring 0it ❑
Type of Wastewater- O'Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mined
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
L A'
Horizon
Depth
(IM)
z~
.1941
StrucAUe/
Te
I C
.1941
Consistence
mineral off
.1942
Soil
waft"V
.1943
Soil
Depth IN.
.1936
Sapm
Class
.1944
ReW
Horiz
Profile
Chao
dt LTAR
2C -3<
kb-;~-l
f
620
1-~i
Gllz-l
~
10- Z Z
......ww MUM xepar ~yatem Other Factors (.1946):
System Site Classification (.1948): 101
Available Space .1943 Evaluated 8 ~
: p
a C~.`✓ Cc A./
Others Present: `a F
Site LTAR 3 -
J- I