IPACHTE# 09 _,5= 2z9Cs" Harnett County Department of Public Health 2 5 6 4 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: • /e J-
ISSUED TO: PCB C //It lk CJ-. SUBDIVISION KR-A((,.A Q raJ LOT # 3
NEW 5?' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFZ) ~Y I
Proposed Wastewater System Type: as~'ya ~e d e~. cn f~ j r+~
Projected Daily Flow: J 1 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 540
Pump Required: ❑Yes ❑ No Cvt Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. FfKive years
Permit conditions: ❑ No expiration
Authorized State Agent:: w Date: /c 40 SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health D partment 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, .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: C c ~d~ c C PROPERTY LOCATION: .
,~SUBDIVISION o.h >~~,-,ter LOT # -
Facility Type: _ 5-r b ~T New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 1J-A 4tA a -r_'C,, =CyJ- e rn (Initial) Wastewater Flow: j4, 0 GPD
(See note below, if applicable
rrvc~:r~, SY
1~ N. _(Repair)
Installation Requirements/Conditions Number o>trnches q
Septic Tank Size ZOO 0 gallons Exact length of each trench 4 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Y- 18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: % Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
rr Aggregate Depth:
Conditions: 2qf is a i8 A ~4--*11-,I:~ ",fe
//1 . ~co- ~celk rrr:.r c-*) f~'_, .,..r~- Lo /rY l I[--,.
inches below pipe
inches above pipe
inches total
prt C J-V 3`1< i
**If applicable: 1 understand the ryrtem type rpecired it different /rom the type .rpeci6ed on the app/ication. / accept the ,rpecifbtionf of this permit.
Owner/Legal Representative Signature: Date:
113 o > F-1 MULHU-euun a Suufeu to revocation it me site plan, plat, or me mrenaea use oranges. me tonstruchon 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 Agent:~ Date: Ike 6 Y
Construction Authorization Expiration Date:
HTE# Permit # 2, S Yo
Harnett (bounty Department of Public Health
Site Sketch
PROPERTY LOCATON: ed.
ISSUED T0: 8 C f-/~~c ,rr . SUBDIVISION k,,,,,Is,,,, For, ,r LOT # 7 C~
Authorized State Agent: Date: `01/Y1260
7`,
* Kew 1, ~t9-
o..C C /W'IC ~ Q ~O vt
,,,r ~ sr, 4 A-
170
~r
Departinent of Envvironment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ , lic [I Individual El Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Qf Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
L
E
#
1940
Landscape
Position/
Slope's
OIL MORPHOLOGY
.1941
Horizon
Depth .1941 .1941
(In.) Structure/ Consistence
Texture Mineraloity
V~~I
Q~l
THER
PROFILE FACTORS
.1942
Soil .1943 .1936 .1944 Profile
Wetness/ Soil Sepro Restr Class
Color Depth IN. Class Horiz & LTAR
~r qy
54_(.rCi
Fr-j~-fl
s, WA
j-
--Description initial Repair System Other Factors (.1946):
s stem
Gf
Site classifi
ti
1948
Available S cc
1943
f
):r
ca
on
.
E
l
stern s
S
va
uated ByYji-_
y
Site LTAR
Others Present:
,