IPACHTE# orI -5-D3'4H Harnett County Department of Public Health 2 5 8 0 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~oNp~cz-o5~ ~
91
ISSUED T0: ~P+-`~c~~ vn.1GE Car~S'C SUBDIVISION G?s2atrtrr~, ~Ea~o N5 LOT # 40
NEW REPAIR ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F-Q ~
Proposed Wastewater System Type: Pv mQ ~o Ca tyVErS.tCJt~t N>-
Projected Daily Flow: GZDQ GPD
Number of bedrooms: Number of Occupants: _1i C) max
Basement ❑Yes X No
Pump Required:'XYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '4 Public ❑ Well Distance from well I,OO feet Permit valid for. Five years
Permit conditionz--~, ❑ No expiration
Authorized State Agent:
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
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, ASS, .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: AsoN ~2 CorJs-C PROPERTY LOCATION: Py~.itJea-osA Z-D
SUBDIVISION CA2pLl JA 5G& ON_5 LOT # Lin
Facility Type: SC-"p(53~ x C New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** p u cnf `-Tc, C av4yer f C\ O N bt_ (Initial) Wastewater Flow: COQ GPD
(See note below, if applicable ~
Pur•,e7t, LANVEN`X0NP"L (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 1~-4 cO gallons Exact length of each trench 65 feet Trench Spacing: Feet on Center
Pump Tank Size y ~0 gallons Trenches shall be installed on contour at a Soil Cover: S~ inches
Maximum Trench Depth of: Ili 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
Aggregate Depth: inches above pipe
Conditions: W"RErt, I-sN0 M,ss S- lb QOr, 5,c Sys-rim inches total
**If applicable: / understand the ryrtem type rpeci6ed it different from the type .rpeci6ed on the app/ication. /accept the .rpecilcationr of this permit
Owner/legal Representative Signature: Date:
-1- - -J-1 w o,o auon a we v,e piaa, pia,, or me mtenaea use cnanges. ine construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to com ' with ro w ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: e.E~S Date: s i ko
onstruction Authorization Expiration Date: LS _
5 Date: S I's I it SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
cement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
HTE# O°►- 5 --0qq A Permit It a5YCA
Harnett County Department of ll~ib is Health
Site Sketch
PROPERTY LOCATON: 90 NDE~wS~. ~
ISSUED TO: so ate'. C- _ SUBDIVISION Caaot~ N~ SeASO,is LOT # I4 _
Authorized State Agent-
Date: 1 8 t0
5b ,
Depsi neat of Emironme k HeafaL Natural Resources Shat:
Division of F.nvim meaW Health Property 1D:
on-site Wastewater, soon Lot
File
SOIIIJSITZ EVALUATION Code:
for ON-SIITZ WASTEWATER SYSTEM
Owner Applicant:
Address: Date Evaluated: 1) -7) 10
Proposed F=Wty:1, 3 Design Flow (.1949): C- C 0 Properly Size:
Locadon of Site: Property R,w
Water Supply: APubfic uger ❑ 0 ❑ Well ❑ Spring ❑ Other
Evahodon Method;
Type of Wastewater. Sewage ❑ t»al Process 8 mbw
R
O
F
T
.1940
H
Lad
SOIL MO
.
RPHOLOGY
1941
OTHER
PROFILE FAC
g
orisw
m"
Po*W * 11rp6
stop. % OL)
.1941
.1941
.1941
soil
.1943
~
wand
soil
M
Color
sir `tl~
S
vv~
a L ~ 4 1 C L5 I "e
3 1a G t--S
J- I I
Site Clesa&Adon (.1944 FS
Enhyded ll)r t-)
Odd FrexnC
.19m
.1944 Phan
Rm* Qm
Horis ♦ LTA
.v
S
S~