IPACHTE# O-1 -J-- 2;--7 ~D Harnett County Department of Public Health 25619
Improvement Permit
A building permit cannot be issued with only an Improvement Permit /
PROPERTY LOCATION(: -J-Alf/ f/ l 14irk f~
ISSUED TO: ti i- ca .c SUBDIVISION _ Tvr4 LOT #
NEW ;~r' REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~G r
Proposed Wastewater System Type: ¢J v r1 f~+
Projected Daily Flow: 4 GPD
Number of bedrooms: J Number of Occupants: max
Basement ❑Yes RIO
Pump Required: ❑Yes ❑ No I~f'Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community t~l Public ❑ Well Distance from well feet Permit valid for. P "'Five years
Permit conditions: ❑ No expiration
Authorized State Agent::-✓ . Date: 8 ~,Zoa 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no y 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 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 T0: PROPERTY LOC2frk+~A N: / l~ /c•/
SUBDIVISION LOT # C
Facility Type: If P "'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? F-1 /Yes ❑ No
Type of Wastewater System** o2r7l Ela~t.c.>, (Initial) Wastewater Flow: GPD
(See note below, if applicable { /j
d, "yh k"-k-S SA -JYJ4 (Repair)
Installation Requirements/Conditions Number of trenches -3
Septic Tank Size /000 gallons Exact length of each trench ~5-0 feet
Pump Tank Size gallons Trenches shall be installed a
Maximum Trench Depth o l8- a 1 inches
(Trench bottoms shall be leve
in all directions)
Pump Requirements: ft. TDH vs. GPM
~:1F - Cr d vJ 2a r J
sF-C
Trench Spacing: 9 Feet on Center
Soil Cover: (v ' f inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
t-f 4, K 1'uJ`
inches below pipe
inches above pipe
inches total
.IV+ d ]z
**If applicable: / understand the system type specified it different from the type specified on the app/ication. / accept the specifications of th/a 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
/-.11Z Je/
Date:
Construction Authorization Expiration Date: 7//Y
HTE# Q4-J---"-7"0 Permit # o2~C~ 1 g
Harnett County Department of -Public Health
Site Sketch
PROPERTY LOCATON:.-5 I ~tl 'a.
ISSUED TO: SUBDIVISION I! 4vr-,-~k LOT #
Authorized State Agent w Date:
jei
5, r---- CIO'
r~ 4
I
3t
.ru l-
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: C►1 ~~C/~~
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: fPublic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Boring ❑ Pit ❑ Cut
Type of Wastewater: (3~rlge ❑ Industrial Process ❑ N xed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
E
#
Position/
Slope %
Depth
(ln)
.1941
shu
p
d
.1941
C
.1942
Soil
.1943
.1956
.1944
Profile
c
u
Texwe
onsistence
Mi
t
Wetness/
Soil
Sapro
Restr
Clan
nxa
o
Color
Depth IN.
Clan
Horiz
do LTAR
G- l 0 f~lf I -T -T
16 y1 13'r- `r ( L
-1 y
Initial
s 'tQA1
Repair system
Other Factors (.1946):
Site cla
ifi
ti
1948
Pf
ss
ca
on
7 ►
Evaluated 13Y:Br~
Others Present:
I
.C