IPACHTE# 0~- s =3aG Harnett County Department of Public Health 2 5 8 0 8
Improvement Permit
A building permit cannot be issued with only an f rovem nt Permit
PROPERTY LOCATIO • t7,~
ISSUED TO: C*_'.., ~asrl ~~U ~ SUBDIVISION LOT #
NEW 9;?/' REPAIR ❑ f EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: q'
Proposed Wastewater System Type: ~ttVk ciA
Projected Daily Flow: .3( 4 GPD
Number of bedrooms: Number of Occupants: (c max
Basement ❑Yes !rNo
Pump Required: ❑Yes ❑ No 5 be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for. 12"Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~cr.. Date: ~OCs SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in 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 i 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.
ISSUED T0: ~;,a•~r~c,r• ~/K~l PROPERTY LOCATI N:
Facility Type: .5-Fi) 2/New
Basement? ❑ Yes 9~6o Basement Fixtures? ❑ Yep
Type of Wastewater System' C 0 V~ a• h
(See note below, if applicable
C o4i'k1 1 cg - (Repair)
Installation Requirements/Conditions Number of trenches ,3
Septic Tank Size 00 0 gallons Exact length of each trench S_Q feet
Pump Tank Size gallons Trenches shall be installed on contour at a
SUBDIVISION 6S4Q_, A LOT # yS
❑ Expansion ❑ Repair
❑ No
Maximum Trench Depth of. -8 _9y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
A/Q
J
cz~ -
(Initial) Wastewater Flow_-A G GPD
Trench Spacing: / Feet on Center
Soil Cover: a~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
re to Depth: inches above pipe
z inches total
`.r t 416 ifA'
/e1~ 4.c~ 01 a sz ~:C sC
**If applicable: / understand the system type specified ya different from the type speci6e on the app/ication. / accept the speci6cationr of thin permit.
Owner/Legal Representative Signature: Date:
I> nuuwiuaiwu U >uutcu its reraauuu n me site plan, pat, or me mtenaeo use cnanges. the tonstruchon Authorization shall not be transferred when there is a change in ownership of the site. This
tonstrucuon 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'
w "/f19- Date: 1,2 9 1,247C
Construction Authorization Expiration Date: rf
HTE# 09 Permit # 25-8T0T
Harnett (ounty Depalrtment of i-~,mic Health.
Site Sketch.
PROPERTY LOCATON:
ISSUED TO: G~~1" SUBDIVISION c.~c► LOT # l Yr
Authorized State Agent:~
Date:
A
A f
too
C
1
~~k ~~d -boll.
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
plicant:
Date Evaluated: / z t
Design Flow (.1949):
Property Recorded:
[Public ❑ Individual ❑ Well
Auger Boring ❑ Pit ❑
Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
1
L
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
mineralolty
.1942
Soil
Wetness/
Color-
.1943
Soil
Depth( IN.
.1936
Sapro
Class
.1944
Raw
Horiz
Profile
Clue
dt LTAR
-~{2
G
V F - Gti`~ ti
!'f c1
Description
Initial
system
Repair System
Other Factors (.1946):
Sit
Cl
if
i
~J
Available S ce .1943
e
ass
icat
on .1948 :
~ -
slam Ty*s
S
r
~
Evaluated By:
Site LTAR
15 1
Others Present: