IPACHTE# 01 a3Z'?'/ Harnett County Department of Public Health 2 5 8 0 4
Improvement Permit
A building permit cannot be issued with only an I rovement Permit
PROPERTY LOCATION: std tc~ er m ka
ISSUED TO- J I•u'-QtX SUBDIVISION r on LOT #
NEW REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _rS-FU 4761( Sot,
Proposed Wastewater System T pe: (ZQnV'4{='ti4!tA
Projected Daily Flow: ~C GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Plo
Pump Required: ❑Yes No ❑ MaY,be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C1' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
4?~_Five years
❑ No expiration
Authorized State Agent:: ~.i' <'C~&__ Date: aoo SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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 Q
ISSUED TO: u c r PROPERTY LOCATION:
SUBDIVISION Qo e - LOT # 3~
Facility Type: J-Fp 0"New ❑ Expansion ❑ Repair
Basement? ❑ Yes No /~Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System*' l _oAVerIT -_Q (Initial) Wastewater Flow: GPD
(See note below, if applicable p
s-4 9Q 441. s t1~~. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ~*O gallons Exact length of each trench __C_7 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 0 Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: v- e ¢n rI C
Trench Spacing: feet on Center
Soil Cover: i'2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggre ate Depth: inches above pipe
..cl inches total
G, J
"If applicable: /understand the system type rpeciled it different from the type rpeciT on the app/ication. / accept the rpeci>icationr of thin 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 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
L
Authorized State Agent: Date: 2 os
Construction Authorization Expiration Date: /l -k
HTE# O 9- 5-- 3 ~-Ty Permit # a S Vc q
Harnett County Department of ll~iblic Health
Site Sketch
PROPERTY LOCATON: ld w c1s o,
ISSUED TO: SUBDIVISION rk-,Jb j- LOT
Authorized State Agent: Date: /!Z°a
S'~~1A) Fln~~, D,.
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Southeastern Soil & Environmentai Associates, Inc.
P.O. Box 9321
FaYetteviile, NC 28311
Phona Fax (910) 822-4640
Emall n*908*49w a medl.=n
(or ? L
1Wi a-!d! rfl r r
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SOIL TE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING
GROUNDWATER DRAINA(3EJM00Nnjmn • SI iacsrcpei
ueparllllem UI ClIv11UI11nvilt, r1Gd1111, d11U 1vdWldl 11CJUUIIC'J
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):
Public [ j Individual
er Boring
[ Sewage
o11CCi.
Property ID:
Lot
File
Code:
Applicant:
( ] Well
( ] Pit
[ ] Industrial Process
Date Evaluated: 11 1; 0
Property Size:
Property Recorded:
[ ] Spring Other
[ ] Cut
( ] 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
.19"
Restr
Horiz
Profile
Class
81 LTAR
C,
x,,~'`~
s
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
:
Other Factors (.1946):
Site Classification (.1948): f
Evaluated By:
Others Present: