IPACHTE# Q1_s 2k~ 0 Harnett County Department of Public Health 2 5 6 4 9
ImArovement Permit
A building permit cannot be issued with only an Improvement Permit
_
PROPERTY LOCATI
ON: S`~ 1YI tl'c j w ,~d.
ISSUED TO: r,-
& ~.t u ~
IO
SUBDIVISION o~~a, -r ~ ""f
LOT # 1
NEW ~
REPAI ❑
_
, , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
t-(6
60
Proposed Wastewater System Type:
` e Jaye. s ~ rh
Projected Daily Flow:
3 (1
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes
~o
Pump Required: ❑Yes
❑ No
(-'May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
C~ublic ❑ Well Distance from well feet Permit valid for.
~e years
Permit conditions:
❑ No expiration
Authorized State Agent:: ,1 c.:_~~ Date: /f C) l ZV 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no grantees 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 "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 .1956, .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 sy/tteem layout/ / /
ISSUED TO: d , „i~t a /t PROPERTY LOCAT ON: % cue ~ s e,- ~c~
SUBDIVISION _~a'~~a~i t a LOT # If e
Facility Type: d ~ew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? Yes ❑ No
Type of Wastewater System' o26 & g,.J c-~,"t p j (Initial) Wastewater Flow: A 6 GPD
(See note below, if applicable
0~ a
Installation Requirements/Conditions
Septic Tank Size o0G gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
~cd ca. -Sc/It~~ (Repair)
Number of trenches
Exact length of each trench SM feet
Trenches shall be installed on contour at a
Maximum Trench Depth of.. _ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
- GPM
Conditions: 0:6 V. I "e1 ff~ c, y c~~^:;~ .S`/S~~r. ~ of eQ~ r~
~0. \ a ^F. Mme' - 1~ ♦ V f-t. l/`R .cai h A c. 0ct~- e F .a a
Trench Spacing: Feet on Center
Soil Cover B inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
r, inches total
"If a liable: l undeatand the ystem type specified is different from the type specified on the application. / accept the specipcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in awnarchin of tha cito Thk
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- SFF ATTACHED WE WETCH
Authorized State Agent: 1, Date: 2c aG 9
Construction Authorization Expiration Date: ~c ~bt
HTE# 01-55= ;ZRL-7/ 7 Permit # 25-C r
Hat-nett County Department of Mlblic He~ajtli
Site Sketch
Q p PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT # 186
Authorized State Agent:e ' t! Date: ~6 ,acs y
0~~ 4-c,., k p iG ce.~, e,.
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Division of Environmental Health
On-site Wastewater Section
SOILiSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ 6ublic [ J Individual
j Auger Boring
[ wage
JI ICt3l.
Property ID:
Lot
File
Code:
Applicant:
[ J Well
[ ]Pit
[ j Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
[ J Spring [ j Other
[ J Cut
[ J Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
SON
Wetness/'
Color
.1943
SON
Depth (IN.)
.1956
Saps
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
~S
o 4
Cr- / /J`
V &
f S-.1
y
K C I
S p
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946): -
Site Classification (.1948): VJ
Evaluated By:
Others Present: