IPACHTE# 09Harnett County Department of Public Health
Improvement Permit
25615
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: At -
ISSUED TO: ~e~t•M~ I SUBDIVISION C ~,►rt~.Md.~ : it LW # 4`
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J-F4)
Proposed Wastewater System Type: C 6 avc-x
Projected Daily Flow: J L0 GPD
Number of bedrooms: I-- Number of Occupants: ~o max
Basement ❑Yes l~ NNci '
Pump Required: ❑Yes VNo ❑ be required based on final location and elevations of facilities
Type of Water Supply: El Community MaPublic ❑ Well Distance from well feet Permit valid for. P ive years
Permit conditions: ❑ No expiration
Authorized State Agent.:- Date: Mai 0 y SEE ATTACHED SITE SKETCH
'
The issuance of this permit by wealth 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, .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: ~ dh PROPERTY LOCATION: 11C_,_.,srcAC-C_ie-(-
SUBDIVISION C ~ -I n Q C, N " /l LOT #
Facility Type: 9?'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Y❑ No
Type of Wastewater System" C 0 n i/L/s-~-114 (Initial) Wastewater Flow: OC Q GIRD
(See note below, if applicable
C-CI J-C vd.V,- (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. /8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions-. , ~~1-•~,r M u~ ltc~ 4c ,-k4ina Jrclm'n'r
✓ t ~-~c.~ ; /c~ K ct ,tip. P
Trench Spacing: 9 Feet on Center
Soil Cover: G -/Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 0Z inches above pipe
Qr- - -
r 2- inches total
*`If applicable: / understand the system type specified is different from the type specified on the application. / 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 chance in ownership of the site. This
Construction Authorization is subject to co 'once with the provisions of the laws and Roles for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Age • Date: u2CSO q l~
Construction Authorization Expiration Date: Y A 0 1
HTE# Permit
Harnett County Department of _Mtblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: S ~erc. 7h o aj
SUBDIVISION C lot ca i►.n.~ N : LOT # cI
Authorized State Agent:
Date: ~t l 9 ~d 9
feu
r
S"
1-D1
0
CaAV
o
~
~+{yP
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plicant:
Date Evaluated: `t [ q o 4
Design Flow (.1949):
Property Recorded:
0~ablic ❑ lixtividual ❑ Well
❑ Auger Boring [Pit ❑
Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope S6
Horizon
Depth
(In.)
.1941
Structure/
Te
.1941
Consistence
Mineralo
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Rew
Horiz
Profile
Class
do LTAR
/
F~-rrrD
~f 1`
~z>~-
c t
~ sff,~
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (
1948
f
Available S ae .1943
.
E
l
d B
System lype(s)
I- A/
c v~ ✓
va
uate
y:
O
Site LTAR
r
i
thers Present: