IPAC RHTE# O"~-5=~yaR Harnett County Department of Public Health 2 5 6 9 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n ` PROPERTY LOCATION: ' Vi-M.N.-.5 ISSUED TO: C1M $%J A-OE 6 1N L SUBDIVISION 1fioQSOrvs Csa_C-,E~ PH ,1~ LOT #
NEW'X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: t rJ F rt t> C (3CL
Projected Daily Flow: 3G O _ GPD
Number of bedrooms: Number of Occupants: -r- max
Basement []Yes No
Pump Required: ❑Yes ❑ No )KMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 16 b feet Permit valid for. jive years
Permit conditions: ❑ No expiration
Authorized State Agent:: s Date: sG~ S 110°1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc ther 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: $u -,06 t ~N C. PROPERTY LOCATION: `Ti~tx
L~oti~ ~.o6ac- ~az
SUBDIVISION`r-0CVTQ
F
ili
T
cE~ Pla'I~ LOT # 13
ac
ty
ype: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** , sv F l r S C2 AS0(L 2P o 6 w' b Cow CfL
(Initial) Wastewater Flow: 3 0 GPD
(See note below, if applicable
~\P 12a.~ Q.-t~o nr 0o (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size k c o b gallons Exact length of each trench tS b feet
Trench Spacing: (o Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover inches M,N-'-"\
Maximum Trench Depth of: la. 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
inches below pipe
Aggregate Depth: inches above pipe
Conditions: 'Tm- Psr:x..~ BASt ~ 0,.j QnoeaS a~ Arno... p ee \-,c a, r.5 Sb,
SG. L r, inches total
\.IACt;2 ~ey6- 1-`\ P- E. \O 1QOn+ S£P~~C. ~`!5`~~~. 1V0 V~~L~SyEJ
~A~ ~tyC )?.(x1 OH ~wr\C~AL
~qA.<,.
**If applicable: / understand the system type speciFed it different from the type specired on the application. / accept the .rpeci6catiom of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to re n if the sit Ian, 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 iseetycompliance h the o a e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
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Authorized State Agent: Date: Lo
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Con~on Authorization Expiration Date: sc, S
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A40P 2007-956
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Date Evaluated:
Design Flow (.1949):
Property Recorded:
❑ Public ❑ Individual ❑ Well
❑ Auger Boring ❑ Pit ❑
❑ Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL, MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
ShucchInd
Texture
.1941
Consistence
Min"alo
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Restr
Horiz
Profile
Class
dt LTAR
~c
4 [J%
0-6
C(_
G- 3o
s< c,
Z2-Zy^
c~
1f~
o -3L
sc - c~
,may'
G - 3D
sc.- Gi
22_ z1
C(-
G -~o
SG- CI
tZ-'us
L. Z-3%
a _ (r
6 CL-
3o {il
SG -c 1
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classif
1948
ti
Available Space .1943
ica
on
E
l
d B
s
system
uate
va
y:
O
Site LTAR
thers Present: