IPACHTE# O`V-5=~-7 Harnett County Department of Public Health 2 5 4 8 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~i GtmVt 'PIZ
ISSUED TO: ~S ~EcL C-orstctyC~'%- teN Co 1,vG SUBDIVISION g%IJ LOT # '1
NEW, REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: C u~rcx~~tlnrP.L
Projected Daily Flow: 3GC> GPD
Number of bedrooms: 'S Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >Q Public ❑ Well Distance from well LCOb feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 51 Oq SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o o permits. The permit holde is respo Bible 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, .1957, .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: \ck-S71;0•- Cor+~~2tx~~ctN C~~,.r~ PROPERTY LOCATION: -~~6Frt D
SUBDIVISION ~6ESZ:Cs aN LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System' CoT-S -J IF-- rr-,,% 0 r,4 C~."~
(See note below, if applicable
Go .-g t r:` r3 A~ (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 1,pg7, o gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a1A 30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 3~o O GIRD
Trench Spacing: Feet on Center
Soil Cover: 1 -1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
Z inches above pipe
1 inches total
**If applicable: /understand the system type specified is dif/erent from the type specihed on the app/ication. / accept the speci6cationr of thin permit.
Owner/Legal Representative Signature: Date:
Ti.:, r.._.._...
,,,..,.~..,„~,~~t==< ~1- -1 m~, ur urc unemueu use cnanges. ine construcuom Autnonzation snau not be transterred when there is a change in ownership of the site. This
Construction Authorization is subect to compliance with of the s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Z\ Date: 5
Construction thorization Expiration Date:
HTE# Permit # Ll~ 4~
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1 ►r+~~ ,ter QS~
ISSUED TO: C-0. 1N c . SUBDIVISION ~P•MES 1~ot~~z~se,., LOT # _
Authorized State AgenO or-ZvfrL `Tb~`F~flat Date: 51 2~ 4
c1<
vaydiUlmett ut cirvutnW0t$1R, r Malur, diw Idi nrauuiAda i.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot *
File !t:
SOILSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: APPHcant:
Address: Date Evaluated: 5)
Proposed Facility: 3 4C-.O wa, uAq,t& Design Flaw (.1949r 34-0 ~o~
J~ Property Size:
Location of Site: Property Recorded:
Water Supply: _;ejfub#c Individual [ I Well t I Spring I) Other
Evaluation Method: Auger Boring [ I Pit Cut
Type of Wastewater Sewage [ I Industrial Process [ I Mixed
P
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o SOIL MORPHOLOG'IC' ►r
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Descrlpfton
Initial System fitepair System
4vailable Space (.1945)
3 stem Type(s)
Go r, c-c, j
3Ite LTAR
3 3
~f3
.3
Qs
.'3
Other Factors (.1948):
Site Classification (.1948): $ 5
Evaluated By: G-z~
Others Present: