IPAC RHTE# n 'y - 5-- 0Zq- ff arnett County Department o Public Health 26100
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
~/j PROPERTY LOCATION: /
rlegnfyN~ C SUBDIVISION LOT #t~
ISSUED TO. ~
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C ttt ✓
Proposed Wastewater System Type: Z~InIZ!' eJ~-d~2J1a
Projected Daily Flow: 60 GPD !
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Ld No ~SPublic
Pump Required: ❑Yes ❑ No I~required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for: IQ Five years
Permit conditions: ❑ No expiration
Ow7Xf CV- /Yf t''E' 1 !I A~SC ,f%.~.r~_ ,22s Zrr Ti
Authorized State Ageni - 0--""-Date: 1 Gr /e/-/d SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department in no way guarantees the issrance 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 TO: /V• , ~ d !_'G PROPERTY LOCATION:,,ZW +~ir rzQYC.,
1 SUBDIVISION LOT
Facility Type: CRUIX14 1,41 w aot I~ a 56 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2N 0
Type of Wastewater System** ZVly ZWO (XI" ~2~►Zlh (Initial) Wastewater Flow: ~0 GPD
(See note below, if applicable
27,5 (Repair)
Installation Requirements/Conditions Number of tr tches Z
Septic Tank Size / D tr d gallons Exact length of each trench 1'" feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. ZZ?/g 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 inches below pipe
_ Aggregate Depth: Z- inches above pipe
Conditions: ~~440y-~ JZ1 f~ 1' = ' z:;;7-' - 12- inches total
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications 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 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
Authorized State Age Date: 7-
Construction Authorization Expiration Date: r ! `f -
HTE# ,Z jp.3j Permit # 2 4,1 b a
Harnett County Department of iblic Health
Site Sketch
. / 'M PROPERTY LOCATON: ~L.l y/q ~ - r- e ZM 9b
ISSUED TO: A/ C, ,chi rlisl~l gl,'6 SUBDIVISION a Zee' r,~s LOT #TL
Authorized State Age ~rDate: /_7
our is 5441Y19, -I-)
F
1
J~~ n,3 k
_ Z' o
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SM EVALUATION
for ON-41TZ WASTRWATZIM SYSTEM
Owner Applicant:
Address:
Proposed Facility:
Location of Site;
Watet Supptp;
Evaluation Method-
Type of Wastewater:
Sheet:
Property ID:
Lot 0:
File f#:
Code:
Date Evaluated: /v - v
- Design Flow (.1949): Property Size: Property Recorded:
13 moo ❑ Individual ❑ Well ❑ Spring ❑ Other
['Auger Haring ❑ Pit Cut
[Sewage ❑ Industrial Process mixed
P
It
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
9
A
La Wampe
Positiow
Slgm %
Hosinn
Depth
(1a)
.1941
Stuatonl
Teen
.1941
Coadsteme
MIM"10
.1941
sail
Wetnessl
Color
.1943
soil
i}e IN.
.1996
Sspre
C1eq
.1944
Rees
Haris.
Prom i
Cte®M
ALTAR
J
L N lb
v - 3~
si,
'3WV
2:
L
Zo -31te
SC,L
1
32" 3N
3` Z
3.2.3g
s
0
tr ~`1 ~
♦
Desaipdon swfiw ii Repak sy,toat Other Factors (.19 6 1
Site Classification (.1948X j~
Avg Is S Aa .1943 EVehwled
She LIAR k z, Olhts s Present: