IPACHTE# Qg-~ Harnett County Department of Public Health 2 5 6 4 S
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION
ISSUED TO- C_ o eti. 14A-`J SUBDIVISION _ c v LOT # /OF
NEW Z REPAIR ❑ F EXPANSION ❑ Site improvements required prior to Construction Authorization Issuance:
Type of Structure: J- 0 S O3f-'
Proposed Wastewater System Type: ~ awucJ`<v
Projected Daily Flow: GPD
Number of bedrooms: J~ Number of Occupants: max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No emla~.be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L~ Public ❑ Well Distance from well feet Permit valid for. 0 Five years
Permit conditions: ❑ No expiration
Authorized State Agenr.:' / ~ c.~. Ems, f (~l Date: /</2s7 00 SEE ATTACHED SITE SKETCH
The issuance of this permit b Health 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, .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: Cuntib 4- )mac once/
Facility Type: S-F.D
Basement? ❑ Yes B-lo
Type of Wastewater System" _
(See note below, if applicable
(Initial) Wastewater Flow: ;;6 a GPD
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size )Q0 gallons Exact length of each trench rC feet Trench Spacing. 9 feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 6 -18 inches
Maximum Trench Depth of. / ? 3C3 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
0*6 -f A r gate Depth: .2 inches above pipe
Conditions c~w b ~~G~~~ U L •~T yy u / inches total
a, 1-'-1Xqt4
`*If applicable: / understand the system type specified is different /ram the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compli ith 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 Agen . t:.. j m 1. Date: l ~l ~o
Construction Authorization Expiration Date:
❑ New
Basement Fixtures? ❑des
tta-.t✓cce,
PROPERTY LOCATION:
/'/ar~c✓°,C'c~.
SUBDIVISION t`/~`orct LOT # l45_
❑ Expansion ❑ Repair
❑ No
H T E # 4A-r--23-'A3a- Permit # a5-6`1 S
Harnett County Department of F' tblic Health
Site Sketch
PROPERTY LOCATON: jed•
ISSUED T0: v~Jk-r- 4 ~~et SUBDIVISION c4%,f LOT # /O
Authorized State Agent: A 56 Date: //1X1-0 Xd
~t4
Depattrnent of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: /
Address: Date Evaluated: ! G ° i t a `J
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: c ❑ Individual ❑ Well
Evaluation Method: Btmn Boring ❑ Pit ❑
Type of Wastewater. [Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL MORPHOLOOY
.1941
THER
PROFILE FACTORS
L
E
#
L mubcape
Position/
slope %
Horizon
Depth
(In.)
.1941
Structured
Test"
.1941
Consistence
Minxab
.1941
soil
welnew
Color
.1943
soil
Depth IN.
.1936
Sapro
Gana
.1944
Rmtr
Hans
Proms
Clan
~ LTAR
7 ~ej
~)k/ f(/
~'frf
c,-
`(I
C,
,Amunpum initial Repay system Other Factors (.1946):
Available 9 .1943 system Site Classification (.1948)rf
a C~ Evaluated By: G
Systern
Site t_TAR Others Poment: