IPAC RHTE# off- 1~35"rC Harnett County Department of Public Health 2 5 2 9 5
Improvement Permit
A building permit cannot be issued with only a Improve ent Permit
PROPERTY LOCATI : q Qgzr-k
ISSUED TO- . ~ A-x__ ~ r~c~ o'er SUBDIVISION %~~e°~ rw LOT #
NEW REPAIR ❑ A EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J'P~ ~0 KJ-'~3~
Proposed Wastewater System Type: v.!,p ~ o oL~j& 4-w~ =vim. Synt,-
Projected Daily Flow: % GPD
Number of bedrooms: :3 Number of Occupants: ~ max
Basement ❑Yes ? o
Pump Required: 121 es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community 2 Public ❑ Well Distance from well feet Permit valid for. IS Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: G2..~ ~ 1"Xw , . 4.1 . Date: 7/ 2 V12M 4 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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, .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: list C%-J40- %J C- w PROPERTY LOCAT ON: ca c-~,A
t-~`~
SUBDIVISION Nt30~Q f- o-rhf LOT # /J--
Facility Type: 2'-N-ew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" t A, a~Cy, (Initial) Wastewater Flow: 6 C~ GPD
(See note below, if applicable _
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /013 Q gallons Exact length of each trench feet Trench Spacing: 9 feet on Center
Pump Tank Size O gallons Trenches shall be installed on contour at a Soil Cover: 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 inches below pipe
`AggregatDepth: inches above pipe
Conditions: mt~l 0-,"L r, ~(jv~r inches total
or J -
OA
t-
/ o- F~ s~~ b..~ L ft-- (&M E %,.r : , - /;.ticf'
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the spedflamrons of this permit.
Owner/Legal Representative Signature: Date:
inis constrUQton Aumonzanon is sutlect to revocation it the site plan, plat, or me mtemied use changes. the lonstructon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliAce 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/ L Date: c~/-- oa
Construction Authorization Expiration Date: ) 12
Jun 05 09 08:18a Aidk.ael eaker 9109 X540
SOU'CNLAS" EN SOIL & ENVIRONMENTAL ASSOC, INC.
PROPOSED SCUSIJR ACh_ WASTIE DISPOSAL SYS'CLM J)Vj`AIL Slt*:Kf
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Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
L,rPublic [ j Individual
[ij'Auger Boring
[ iSewage
JI ICCI.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated: 7/2- Z zoos
Property Size:
Property Recorded:
[ J Well [ J Spring [ J Other
[ J Pit [ J Cut
[ J Industrial Process [ j Mixed
P
0
F
SOIL MORPHOLOGY
1941-'
-
OTHER
PROFILE FACTORS
c
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
5apr
Class
.1944
Restr
Horiz
Pinflie y
Clam
& LFAft 4 "
T
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
Site LTAR
`f
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:A
Others Present: