IPACHTE#10 - s-Z 35--2Harnett County Department of Public Health 2 5 71 1
Lmprovement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO -~-ZC PROPERTY LOCATION:4,2 Z_oti;, g, 7„j(41 V /!p
SUBDIVISION -Zp1go1b 8Yk LOT # 2,a
NEW REPAIR El EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: St= b
Proposed Wastewater System Type: ZS °/a k E-b u
Projected Daily Flow: 160 GPD
Number of bedrooms: Number of Occupants: g max
Basement ❑Yes No /
Pump Required: ❑Yes ❑ No Q May~re required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet
Permit conditions: Permit valid for. L~ Ftve years
❑ No expiration
Authorized State Agent:: Date: l7 /d SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance o[ 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 o1
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 T0: DD,u1J~,~ ~N T~2t PROPERTY LOCATION: ZIxS~ -O
SUBDIVISION LOT #
Facility Type: SF70 EA NeW Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q No
Type of Wastewater System** ZS% 176t) (Initial) Wastewater Flow: '/80 OpD
(See note below, if applicable
IYI_A&Ie~ ~ 2-:M zZ ETA ✓ (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size 1_p& gallons Exact length of each trench feet Trench Spacing:
Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G inches
Maximum Trench Depth of: Z V " 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: Z inches above pipe
Conditions:
l~ inches total
**If applicable: / understand the system type specified , different from the type specifed on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature:
Date:
This Consauction Authorzation is subject to revocation if the site plan, plak 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 compliance with 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 Age 1Z Q s-
Date: / -!z- / U
Construction Authorization Expiration Date: t-t z-,
NTE# 1D- S- Z3SZ~ Permit # ,?,S 7
Harnett (bounty Depailment of 1- ~iblic Health
Sitc Sketch
PROPERTY LOCATON _~c ZGY~ CA,g~ rz ~
r- C: ~
ISSUED T0: bbAlitl i y j.- SUBDIVISION e3✓~p LOT # 2 4_
Authorized State Age
Date:
IUb
a-~F dl~
~X
101) 1 o T
L D CD rte'/
*6f, Ir-- 2(Tt3E~:,
LSD P O Loe.•t
{0 1710 0 ►jbw-,:~ 4
r
f
sr
S
D
rJAR ( Ih
25
N
L-- >
~ f
~
I
do
I ,
OIL
1'jL
lbio,
Department of Environment. Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOEUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant: 2 3S Lt-
Address: Date Evaluated: I-s-ir -ve
Proposed Facility: ;~90 Design Flow (.1949): If8o
Location of Site: Coii;~ Property Recorded;
Water Supply: ❑ Individual ❑ Well
Evaluadan Method:
Type of Wastewater: t3' sewage ❑ hwusOslPitPro=
Sheet:
Property ID:
Lot 0:
File
Code:
Property Size: l4c/2,-
0 spring ❑ Other
cut
Nfxed
P
R
O
F
1
1940
OM. MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
N
I Nnhe"
Pasidow
Slope %
Horim
Depth
(M.)
.1941
shuchlw
TOM"
.1941
C000111416
M halo
oe
.1942
Soil
wetnew
Color,
.1943
Soil
Depth (IN.)
.1936
-14"
CLra
.1944
ReW
Hors:
Promo
Clue
A LTAR
i G59
0-.3o
tr
6td&JP
f, it, tol
t~
u
Sn-Q
,j0-
y2
2-
a - ~ $
leas
P
4?)
IZL
30
o- ZO
at_
f Z 6- I(JA)
tx
site Claniiication (.1949r
Evaluated By.
Odm Present: