IPACHTE# 07 -.-=a,?,~ ZS Harnett County Department of Public Health 2 5 6 3 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: / ~ ~ I~ lC'd. i. 'f ISSUED T0: c~~ r l y 1~ C-.~~-k- SUBDIVISION ~~1 ~,~,A l c C LOT #
NEW Ci?" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ID a'
Proposed Wastewater System Type: C V -k N-k
Projected Daily Flow: J t- 0 GPD
Number of bedrooms: 13 Number of Occupants: max
Basement ❑Yes 1 No
Pump Required: ❑Yes [?<o ❑ May be required bas d on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public L Well Distance from well feet Permit valid for. 9-Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: 1044/ m9 SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Bgilding 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 T0: PROPERTY LOCATION: 7~4 I*1a r
SUBDIVISION s ~ ,4CC.rv1'L q, LOT # d-B
Facility Type: + New ❑ Expansion ❑ Repair
Basement? ❑ Yes C'I-No Basement Fixtures.? ❑ Yes ❑ No
Type of Wastewater System** C_o A .~Z ':~t Q
(initial) Wastewater Flow: (c 0 GPD
(See note below, if applicable
°~5-2~ (Repair)
Installation Requirements/Conditions Number of trenches -R. 4-CJ,
Septic Tank Size G 0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _ inches
Maximum Trench Depth of: 18 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
onditio41k~c~C,•.+" QN 5-45- inches total
Cr~~~~r- (a tr Mir h~ (e~r~-- 1~ c.ny 14'z rye
**If applicable: / undeatand the system type specified is different from the type specified on the app/icmion. / accept the rpecifcationr of this permit
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes.
Date:
Construction Authorization shall not be transferred when there is a change in ownership of the site. This
tonstruction 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 Agen ~l Date: G < o
Construction Authorization Expiration Date: ao if
HTE# 05i-j3- ;L~-U-q Permit# c~
Harnett County Department of Public Health
Site Sketcl
PROPERTY LOCATON: cd t K¢ ~ .
ISSUED TO: SUBDIVISION c o<<ee,, LOT # oZt3
Authorized State Agent: Date: 200
~
r
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOQJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.194
Location of Site: Property Recorded:
Water Supply: ❑ Public ❑ Individual [Well
Evaluation Method: ( Auger Boring ❑ Pit ❑
Type of Wastewater: Q 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
#
I andm
Position/
Slope
if
Horizon
Depth
(hx)
@-
.1941
Struchow
Texture
S C
.1941
Conwetance
Minenb
P
.1942
Soil
WdneW
Color
.1943
soil
Depth W.
.1936
Sal"
Chant
.1944
Raw
Horiz
Profile
CIM
LTAR
7
I T
.......ww uuetat xepatr system Other Factors (.1946): 0
S stem Site Classification (.1948): 1
Available S ce .1941 Evaluated By: /1-- C f
S edam . Cc' cc Others Present: l~
Site LTAA