IPACHTE#o'0ii Harnett County Department of Public Health 2 5 6 9 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T1nc~o~Owt=sz,Q„fl
ISSUED TO: $vt LoE~S `N C- SUBDIVISION Ro,-nbt~ fotiti-s4 LOT # l'bl
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: STD Q(_6 '_fib)
Proposed Wastewater System Type: a S`°lo 9_C-Zu~;scst.,
Projected Daily Flow: 3(-0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'KNo
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well BOO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 'PI e-~c j SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc other permits. The permit holder is r P 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, .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: ~S-SAt.C , gyt ">6Q-5 )Vic- PROPERTY LOCATION: M~ccr owCt~ R
SUBDIVISION P~cRaNS Pars LOT # 1~1
Facility Type: S&(:'6 X- IO New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable 41
°/ate Sys i~.Sl (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t o d (f? gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench is-0
Trenches shall be installed on contour at a
Maximum Trench Depth of. Z' 3C
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: I Feet on Center
Soil Cover. ~ zL' inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Conditions: \J.nrF_~ ~'E S s, Aggregate Depth: inches above pipe
C_ Svs N. a U1" E;: inches total
_r'1 t~.-y EN G20 P.Gy o N 1 v s ~ i A~ op.. q , CZ- ~.Q.C;-.P.
onstruction Authorization Expiration Date: to 6 1 **If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the .rpeci(cationr of this permit.
Construction Authorization is subject to complia c provi' of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: t-5 Date: to 6 01
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not ho trandnrrnd whop A- i, e , .k ,.r ri:_
HTE# C` P ' # ; `L -4-
ISSUED T0: StP,~cc.~ v S ~HG SUBDIVISION c►~o dSQo~a-c LOT
Authorized State Agent 7~~s rEct -ToL~csaoc~ Date: Tb 6
t as°~o 1
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ermit
Harnett County Department of Public Health
Site Sketch
PROPERTY IOCATW M l -1- Q-Z
150'
U MP~+F15 rG-iL 0 cl-
Department of Envimnnlent, Health and Natural Resources Shed:
Division of Environmental Health
On-Site Wastewater Section' ID:
Lot
SOI L/SITE EVALUATION File
f ON -S Code:
or a 11, WASTEWATER SYSTEM
Owner: Applic=:
Address: Date Evaluated:
Proposed Facility: --,,ja 'tC0 Design Flow (.1949). -56<)y Prop" Size:
Location of Site: prnperty Recorded:
Water supply. Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial pcew Mixed
R
O
F
I
L
E
.1940
a
e
H
i
p
or
zon
Powfion/
Depth
.1941
Slope %
(In.)
sbud"
Texhlre
ra.,gYr
0 -361'
C S
.1941
Comietena
104-
v(-ri. tiy.
Soil
Wehoew
\Fri, K4 w
~y
G L vRz
Other Factors (.1946):
Site Classification (.19487 5
Evaluated By: cr
Othem Present:
SOIL MORPHOLOGY
.1943 .1936
Soil Sawn
.1944 Profile
Reatr Ciw
SA