IPACHTE# Harnett County Department of Public Health 2 5 7 0 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: TOW6LL t'At2c•. Qtj
ISSUED TO: V-oa Qd 0 EE. SUBDIVISION LOT #
NEW 'K
REPAIR ❑ XPANSION ❑
Type of Structure:
5 F O f'$"3r'~Ep
Proposed Wastewater
System Type: NVErr~ vtl NP.l.
Projected Daily Flow:
6CoC~) GPD
Number of bedrooms:
3 Number of Occupants: ( max
Basement ❑Yes
XNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ;9,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )PQ Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~ 9-.6ia C, Date: 101 11V I 0C1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ance of other permits. The permit holder respo ible 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 vement 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: (ZogS eoPE PROPERTY LOCATION: PowELL ~rPS>~r, a
SUBDIVISION LOT #
Facility Type: S ~Q x60 J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes KNo
Type of Wastewater System** Co tN16N"C sci N N=
(Initial) Wastewater Flow: 3oU GPD
(See note below, if applicable
C.+`i Etu~ \-(3 f, P( V (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ~OC~d gallons Exact length of each trench gd feet
Pump Tank Size gallons Trenches shali be installed on contour at a
Maximum Trench Depth of: ) $ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil (over inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
a inches above pipe
)i Q~::_ inches total
Aggregate Depth:
Conditions: ~ia~C~2 L\N6vs~ ~E \C)" S 'C`L S y5{GN. \A C)
U-rly \'C~65 tMP`1 F--- CG- P, a,\ C),r \tjL~1DL riCL ~D\2 ~2GAS
**If applicable: / understand the system type specified is different from the type specifled on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
..,..-,,.a,1„11 „ ,,J- me >«e yimi, pia, ur me nrtenueu use changes. ine consirucoon numortzauon marl not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comp is the pro s of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: " g-C_XS Date: ~ h d
nstruction Authorization Expiration Date: W h
HTE # O `S -S''~-`e`b`b
Permit # a.5-3 4
Harnett Comity Depailment of Public Health
Site Sketch
PROPERTY LO(ATON: ~ow ~Lt ~rNyM ~p
ISSUED TO: ~o Q0 QE SUBDIVISION LOT #
Authorized State Agent 4b~i5 `pew " 101 DO Date: 1 O~ 1y10~
30~ 1N6a.CSS,GG~.ESs
2X64 ES5 L) f } L, ~y
-35a
Department of Environment, Kith and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
Code:
for 014-511 L WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: Proposed Facility 31B ~ia cj,\,gryDesign Flow (.1949): 3.~ 6 Property Size:
Location of Site: Ply Recorded: e
Water Supply: Public p bndividual p Weup ❑ Siring
Evaluation Method: Auger goring ❑ pit cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOL,OOY OTHER
I .1940 .1941 PROFILE FACTI
L L andmape Horizon .1944
E Poeition/ Depth .1941 .1941 soil .1943
M Slope `i (Ia) sbuc wan Con"eme wemaw Soil
Texture mbmalo Color Depth CIN.)
I y 4 cy C 5
2 C- C.
v Ns~N
Z'4~ 5;~Z
-414 C T'11 S 5I SP ~2 71~ @,3
W ea-
~ ~ S tic ~ c~ ~ 551
ecepaer sYerem Other Factors (.1946):
t :t Site Classification (.1948r ?5
cam,., Evaluated By: oN
Others Present:
p Other
.1936
Sapro
Clan
.1944 Proms
Reatr Chm
ps
-r5 .3