IPACHTE# ` .5-- 13 Harnett County Department of Public Health 2 5 8 0 3
hDrovement Permit
A building permit cannot be issued with only ap, Improvement Permit
PROPERTY LOCATION: on izic-re Sc. &
ISSUED TO: rz,, I L Qccyr SUBDIVISION C s rz I;,i . ~c LOT #
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF D -d ''i V2
Proposed Wastewater System Type: Ca,t Vta u t~.
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: ( max
Basement ❑Yes fF No
Pump Required: ❑Yes PNo ❑ M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: er-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: _ t 1 ,i ~~s /(J Date: ~1 o is l5I SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in no ay 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, .195
with the attached system layout
2, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references
into this permit and shall be met Systems shall be installed in accordance
ISSUED T0: 1' Tie L,~C~ r
PROPERTY LOCATION:
'
SUBDIVISION
LOT # 67-0
Facility Type: ~S
1 New ❑ Expansion El Repair
Basement? El Yes No Basement
Fixtures? ❑ Yes ❑ No
Type of Wastewater System" C 0AL/C
A4-'.0A-J,
(Initial) Wastewater Flow: cf GPD
(See note below, if applicable
_ ~ .gyp to
9,-,(-~t (Repair)
Installation Requirements/Conditions
Number of trenches I?
Septic Tank Size Cad gallons
Exact length of each trench SO feet
Trench Spacing: 5 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: Z2- le inches
Maximum Trench Depth of: inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
n h b I
Conditi
c n ✓✓rr`CK~f° or
r f-,d.
1 c es a ow FIFE
Aggregate Depth: 1 inches above pipe
f inches total
4.
rrt l~ . r> .S'` G>ti't'
**If applicable: /understand the system type specified is different from the type specified on the app/icatiao. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thi< rnmtrnrtinn A,n6„d,ri„~ '.ki .f . I - _
- - F-,, F- - nnugc . me wnsuuaion Rumor zanon snap 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 Disonsal and to the rnnditinnc of thi< -rmif trr ATTACUrn (ITC cyrTru
Authorized State Age. s Date: e
Construction Authorization Expiration Date: i! 0 4 c2 Qf V
HTE# O I- 5 023 ? Permit # J s-8 a,,3
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON: f o~+c ~e-os~ 10.
ISSUED TO: . cS'r j L.vcar SUBDIVISION ta1AX LOT # Fa
C
Authorized State Agent us Date: A OQ9
A 4z 4-4 y .14L
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ueparVllentul CIIVII UIIIIICIII, r1CdIU1, d11U NdWldi rtCJUUIUUC
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):
[ ublic (J Individual
(--r r Boring
[ Sewage
131 lt=tA.
Property ID:
Lot F
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well [ J Spring (J Other
[ j Pit [ J Cut
[ j Industrial Process (j Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
i
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Son
Wetness/'
Color
.1943
SON
Depth (IN.)
.1956
Sapm
Class
.19"
Rests
Horiz
Profile .
Class
& LTAR
f
5-k
Q
C_/Z_~-
6-4yL
A, ir' -
g
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
✓
~I`~
Site LTAR
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By: ,GM
Others Present: