IPAC RRHTE# 08.533- }7757 R larnett County Department of Public stealth 2 4 7 g 9
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: n
ISSUED T0: V r" SUBDIVISION ( ►,N ct~ LOT #
NEWA ~J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F 0 X a- % 6(?-
Proposed Wastewater System Type:
Projected Daily Flow: _ GPD to -1 rl~ Mo,
Number of bedrooms: Number of Occupants: max
Basement ❑Yes >f-No
Pump Required: ❑Yes ❑ No *IK-Kay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community JA--Pub jc ❑ Well Distance from well ' feet Permit valid for. /r;.Flve years
~ermit `onditions:._.5~~~ tOt.t-~ ~~t~n-~~,y~g 5i ( 0WVJ v.( 0(- ❑ No expiration
Authorized State Agent.: _U IL A-2 S Date: 0 S Z 2 - -Z X SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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, J954, .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: C~ PROPERTY LOCATION: ~C o
SUBDIVISION LOT #
Facility Type: S FO- X 7 - X `RR New ❑ Expansion ❑ epair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~ No 360
Type of Wastewater System** ~!J - j,(Initial) Wastewater Flow: GPD
(See note below, if applicable
_ 13 nc--A C'~ )3 C!G (Repair)
150
Installation Requirements/Conditions Number of trenches .I
Septic Tank Size -A-COO gallons Exact length of each trench 3;~!<_ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ~ R- @ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover. -G--inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified it different from the type specihed on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The Construction Authorization shall not he transferred whan there it a rhanua in nwn>ahin „f thn tiro Thi,
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 Agent: Date: Q S Q- b "9
Construction Authorization Expiration Date: c~i►~- a~~l'3
HTE# 0 g' S - V)-719 -710- 1~ Permit # 0) ~f rt x `1
Harnett County Depa rtment of Public Health
ite 'Sketch
PROPERTY LOCATON: C o~ -I
ISSUED TO: n ic,sA . SUBDIVISION • N LOT #
Authorized State Agent: Date:
1
r
2i
S ((A~ o~~
(ZOk-,\n C( ) ev, l Or- h 51^ert
`Y1rc,- onS
Q-cA..c-Vi72.r", S~S
~3S
~A
Q 6CC c
R4 Pr,
S~xS~
,9-7
30
3~' 4 hcw~ Qt~Ck
g~ ~~P ~ s 13 s
z
v
Y
['O1 I'D
. 13-
uepartment ul ctrvuumiju t, neclun, mu Ivewlal F ~ -Lea
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Design Flow (.1949): ~y 6-0
JI IGCI.
Property ID:
Lot
File
Code:
Applicant:
Location of Site: W( 'Z-
Water Supply: T_ ubiic Individual Well
Evaluation Method: ] Auger Boring 44-pit
Type of Wastewater: [ ySewage O Industrial Process
Date Evaluated:
Property Size:
Property Recorded:
( ) Spring
[ ] Cut
[ ] Mixed
[ ] Other
P
R
o
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS .
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
.1941
Structure/
Texture
1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LIAR
Q.~~
V (L
J
n
Description
Initial System
Repair System
Available Space (.1945)
A, 0 of
L- 0,
System Type(s)
• ~1
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: q G_
Others Present: a / h
9