IPACHTE# Harnett County Department of Public Health 2 5 7 9 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t=- L \ (n,-rt $c2 \ o c
ISSUED TO: t a CLO c~ Noc..E5 SUBDIVISION <A -o L-\'4fa C)P.'%LS LOT # NEW 'V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Co1,4N ~:,orcp,~ lelj
Projected Daily Flow: 3 C(: ~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well LOn feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent..: Date: 301 a~1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f 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: gl- CZ-ra.\-\ pr••Es PROPERTY LOCATION: ~-s-t \OTi '&0-\ 0 6G P,D
SUBDIVISION Gr~2o~ t .r4~ Cja LOT # S~
Facility Type: SVS~ CSa-~~ ,X New ❑ Expansion ❑ Repair
Basement? ❑ Yes la, No Basement Fixtures? ❑ Yes N
Type of Wastewater System** Cic-N " IV t _1i'_\ v a C14 A P v ~ (Initial) Wastewater Flow: `~4 GPD
(See note below, if applicable 19 C.1 'f E>v c d ac 00 M eJ (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size ~ eno o gallons Exact length of each trench '-10 feet
Pump Tank Size t o e 0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: S a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: I t{ N i n o tr O s~
Trench Spacing: cl Feet on Center
Soil Cover: (,,ry inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth
,G 5~
inches below pipe
a inches above pipe
1a inches total
*If applicable: /understand the ystem type s0 cited is different from the type specified on the applic3617. / accept the rpeci6cationr of thif permit
Owner/Legal Representative Signature: Date:
This Construction Authoritarinn is mhinrt in rnvnrarian if tho dm ohm I,r ,...k ; e d.d rL_ r_
I ~......b... uc pgnp- O ❑ICfC U a mange ni ownersmp at me site. Ims
tonstrucnon Authorization is subject to comp' ovti ns the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~~ZS Date: t~ c,
Constru ' Authorization Expiration Date: S~ 14
HTE# c5) "5-3- Permit #
Harnett County Department of ll ~iblic Health
Site Sketch
\ PROPERTY LOCATON: F 1-., pVc= V
ISSUED T0: 1LL ~A2~ C`tO S SUBDIVISION C- A<wLI~ka LOT #
Authorized State Agent: ~-ll aE,a~ oL N6Q- LVwsOv Date: 1-.j)L
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Department of EmvironmeK Health and Natural Resources
Division of Environmental Health
Or Site Wastewater Section
SOUJSITZ VALUATION
for ON-SITZ WASTZWATZR SYSTZM
Shod:
Property ID:
Lot
File
Code:
ownw. Address: Applicant: Date Evaluated:
Prgbsed Facility: 3 66vW cti Design Flow (.1949): U Property Size:
Location of Site: Property Recorded:
❑ Individu
al ❑ Well ❑ Spring ❑ Other
water Supply. rs=,
Evaluation Method: ❑ Fit Cut
Type of Wastewater e D lnd»striat Process H I~uCOd
P
R
O
F
t
1910
OR.MORPHOLOGY
.1941
THER
PROFILE FA TORS
L
13
#
LmWompe
Poeidm/
slope %
Hwizua
Dsp i
(Ili)
.1941
sbuch d
Texh"
.1941
Comitma
mbwslm
.1942
Soil
woum w!
Cola
.1943
Soil
.1936
Septo
cim
.1944
Rely
Hariz
Proms
Claw
i LTAR
t
a ~~y o
O- \Dr
G rz S L
14M -$I N9
%0 -*;M
5Q,) .SC L.
9L
107 J1~.,~G."
Q5 ~r
l~~,A
5a~~,GL
~2 salmi
tO~)2'7 r
93
i
r
tepeir sYstm Other Factors (.1946k
Site Classification (.1948} Q
Evahated By. Cf"-,
`N Othas present. -
y x ?a @J 9v4~P 1F a6SZED