IPACHTE# c) 9-~ =zoo Harnett County Department of Public Health 2 5 6 3 6
Improvement Permit
A building permit cannot be issued with only a Improvement Permit
PROPERTY LOCATION:
ISSUED TO: ~C6 r Ac"r LO-4 SUBDIVISION T-a ter ` 0 PL_ 4 LOT # /&r
NEW 1?' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF0
Proposed Wastewater System Type: t'k
Projected Daily Flow: t{8 d GPD
Number of bedrooms: t( Number of Occupants: max
Basement ❑Yes N{'Tfo
Pump Required: ❑Yes Vlo 6J .a~le required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LAY Public ❑ Well Distance from well feet Permit valid for. E F ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~c ;'CEefI Date: /V_/6 f-/"0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by Fesite"plan, 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 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: PROPERTY LOCAT : &r i.
SUBDIVISION 0_,res' d LOT #
Facility Type: ~F~ E! New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' a S-X, ~prti (Initial) Wastewater Flow: q e 0 GPD
(See note below, if applicable
-LS L
4eA- 4 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench c2 O 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
Trench Spacing: 9 Feet on Center
Soil Cover. & /a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
( Aggregate Depth:
Conditions: ~ Fr v-'A-k p r%: be a ~~d ~ v F` Lt. hti 0 inches below pipe
inches above pipe
inches
r-v~ d0 van f-4 ~I ter ~ _ total
If applicable: / underftand the fyftem type fpeciled if different from the type fpeciled on the application. l accept the fpecilcationf 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
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
FAuthorized State Agen C Date: d
Construction Authorization Expiration Date: 0 6 ,moo /
HTE# O 9- ~o
Harnett County
ISSUED TO:C_ Q,,v,
Authorized State Agent:
+ 40 P,
Permit # J- ALA.
Department of F' bli c Health
Site ketch
PROPERTY LOCATON: Jur-j'-rv kcI-
SUBDIVISION o # Or kf LOT # S"
e Date: `G'66/ ck 9
t31ve- K)n j,+
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISIITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated: 0 10 /`'y
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: tic ❑ Individual ❑ Well ❑ Sorg ❑ Other
Evaluation Method: Hk4ger Boring El Ph El cut
Type of Wastewater. [l( Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
L
1940
L
d
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
.am
acape
Position/
Slope's
Homan
Depth
(la)
.1941
Shucomw
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetness/
Color
.1943
soil
.1936
Sapro
class
.1944
Raft
Horiz
ft i~ A r GJ I'=
rnrn6
-1~
v I`f
VN/v!
Profile
Class
LTAR
J
-3 Cl l,-flffAJla
vx J 6 J r
Initial Repair system Other Factors (.1946):
System Site Classification (.1948)::
Evaluated By:
Others Present: