IPACHTE# SO- 5 0
Harnett County Department of Public Health 2 6 0 4 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \4,Q-e i?,&>
ISSUED TO: Gtt" ~A95casar,r ~0 M SUBDIVISION -I<NLO„~t 'rrNg-s-,5 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~c 3 0 I-S70
Proposed Wastewater System Type:
c~~lE v~lb~t~(r
Projected Daily flow: GPD
Number of bedrooms: 3 Number of Occupants: j~n max
Basement ❑Yes 'No
Pump Required: ❑Yes ❑ No K May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t o o feet
Permit valid for -~k4 ive years
Permit conditions
❑ No expiration
Authorized State Agent:: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss ce of other permits. The permit hol er is r sponsible 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.
ISSUED T0: Gam.-) Rac,Sr sSO N Wo n,F S PROPERTY LOCATION:
SUBDIVISION KENLAt` A+2~+5 LOT # 3
Facility Type: s y` ~30 ~Al-S ~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** _CoN-4-11 f, cant Rl- (Initial) Wastewater flow: 34d GIRD
(See note below, if applicable
C J
C~~o ry AL~ (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size t o O o gallons
Exact length of each trench 5O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: Q.."-A --3 Q) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
E
Cornnditions:c \ 71L,- L My ~>6 ~0
1 t~`i Csucrl 04c~ A 6 rz : ~Q 7 1~PsCn ~.c71 r.
inches below pipe
Depth: inches above pipe
Lk tEs S inches total
**If applicable: / understand the system type speciTed is different from the type specired on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative lraqre: Date:
This Construction Authorization is subject to revocation i ce pla , fat 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 iss 'ect compliance !pr 'on and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
S Date: 511-1~0
luthorization Expiration Date: s.
HTE# 10~5-~~a-fib
Permit # 21,(,0 "1 ~
Harnett County Depailment of 1"Itblic Health
itt Sketch
PROPERTY LOCATON: "41aE Q-D
ISSUED T0: GPr2.- )wso N \A0 wSUBDIVISION kc.NL¢,N ~=crz, LOT # 3
Authorized State Agent: dais~p~,~ aLxsnc Date: 5' }1()
W 12 G R-9
I$LA,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIdSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant:
Address: Date Evaluated: 5) Ia110
Proposed Facility: i a c a "o v -s Design Flow (.1949): '3,.,a Property Size:
Location of Site: Property Recorded:
Water Supply Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ~ Auger Boring El Pit C1 Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I .1940
L Lam
H
i
SOUL MORPHOLOGY
.1941
P
CHER
ROFILE FACTORS
pe
E Position/
# Slope's
1
or
zon
Depth
(In.)
.1941 .1941
Structure/ Consistence
Texnere Miaerab
.1941
Soil
Wetness/
Color
1943 .1936
Soil Saps
Depth IN. Class
.1944
Restr
Honz
Promo
Clan
A LTAR
Ct -a.°/8
C7-->~
G L S wn. N S P
5
is
-y~
~ ~s v Fa ~►s~P
5
~
.
a
G L3 vc~, ~,~1
S
&
.
•.Y•••~ umw EE-
Repok System Other Factors (.1946):
Available S co .1943 S st a Classification (.1948): 5
stem s Clo q C"00 Evaluated By: 6-)
Site LTAR Others Present:
30