IPACHTE# ~g-~3ay7 Harnett County Department of Public Health 2 5 6 4 4
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: mar ~Q ¢r f~.n ra ~e~e - ,~d.
ISSUED TO: c~ o{art 3,4%A ~oSUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: # x7 X (.r
Proposed Wastewater System Type: p1_ri, 'A
Projected Daily Flow: NJ(PO GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Pump Required: ❑Yes t2'No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for R-rive years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~ /1~(~`/>JC= C~'/~l Date: ~1~Z12f0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by Aalth r~-
Department in no way guarantees the issuance of other permits. The permit holder'
older 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>,}
A a~gcl PROPERTY LOCATION: +-If<41 14
d~~~ Lh
~-SUBDIVISION LOT #
Facility Type: L New ❑ Expansion ❑ Repair
Basement? ❑ Yes ET"'No - Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _ 02 S d eek--k ~'yT~~ (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
S rti (Repair)
Installation Requirements/Conditions Number of trenches ✓7
Septic Tank Size "/WQ gallons Exact length of each trench _feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 020 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
ns:LiNaltr,.~,1•nc~ ddlcoAlourCvJh'~ra~A-lkzrf-/a4S
=1'~~ ~r fi o,),Z4 ti fl-, ~St,sf a. m -
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
o.J
~e~- ~e ems. b F a,~_ a 0,y /~Gr & 4_
**If applicable: l understand the system type specified is different from the type fpeciped on the application. / accept the specifications of this permit.
Owner/legal Representative Signature: Date:
F.-, r,a4 ,,,r U~dI1xC1. IpC wnxreuion Nutnonzauon snau not oe 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 in the rnndainnt of thit --it Ur ATTAMPI Wr MTN
Authorized State Agent: Date: .2 t~
Construction Authorization Expiration Date: 6 z ~o
HTE# O) ~ - r= 2,3p q 7 Permit # as - ~ V~
Harnett County Depailment of IlVblic Health
Site Sketch
PROPERTY LOCATON:c i-Ud.-I ~k1a't' X'J.
ISSUED TO: 0Act ~ ~oc~ er SUBDIVISION LOT #
~ L J
Authorized State Agent j Date: 2~~
Department of Envimn rent, 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: ; c { z c1 9
Proposed Facility: Design Flow (.1949):
Location of Site: Property Retarded:
Water Supply: he [I Individual ❑ Well
Evaluation Method: Auger Boring pit C]
Type of Wastewater: C7 Sewage ❑ C] Industrial Process ❑
Shed:
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
#
Lampe
Positiow
Slope %
Horizon
Depth
(In.)
.1941
Shuch"
Texhwe
.1941
Comiutowe
Minanb
.1941
Soil
wetness!
Color
.1943
Soil
Depth (04.)
.1936
SWO
Clan
.1944
Rear
Horiz
Profile
Clan
& LTAR
4k
t; -,-z,
- Ise-
bJ i
r-rJ1J-
Other Factors (.1946
Site Classification (.1948r Pf
Evaluated By:,)•-ti
Others Present: