IPACHTE# \o S-a,3s-,A Harnett County Department of Public Health 2 S 8 5 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S- ps~A"U2 QED
ISSUED TO: i>vt1-fin- SUBDIVISION GaryC_ LOT #c~"I
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VS:-) ( CO ""~Z'O
Proposed Wastewater System Type: gEov6* 0 ,J
Projected Daily Flow: 36d GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: [:]Yes
No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `X Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: ti ❑ No expiration
Authorized State Agent : C2 L"15 Date: 11 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i nuance ther 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 Improvemen rut 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 T0: l~F~S1a ~uw~c~li ~s>_~Ert PROPERTY LOCATION: t-RY~sZ Q9
SUBDIVISION \-I C' L--NL ' Ga.tvE LOT # '31
Facility Type: 5 IFb X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" sb-'-4 Sys ; Esr) (Initial) Wastewater flow: 3(-0 GPD
(See note below, if applicable
2 ,S°lo
pvGSso N 56~ (Repair)
Installation Requirements/Conditions
Number of trenches III 3
Septic Tank Size t o 0 o gallons
Exact length of each trench 1 S- feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of a~ inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing: Feet on Center
Soil Cover. 1 -8-, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: EQ, ~,tvE ~vSZ Vj Sp-;,c- Sys-, G,.,
inches below pipe
inches above pipe
inches total
**If applicable: /understand the ryrtem type specified it different from the type rpecired on the application. /accept the rpeci6cationr of this permit.
Owner/Legal Representative Sjgnature: Date:
This Construction Authorization is subject to revoca' " e site plan, por 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 subk, 'tmpliance wh khe pro i~ e Law d Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: S ) 10
Construction horization Expiration Date: W -9
HTE# E Cb" S Permit # S`l
Harnett County Department of Public Health
Site Sketch
ISSUED T0:~'S1~
Authorized State Agent:
PROPERTY LOCATON: Lp,-, )CizQD
SUBDIVISION LOT #
`o%-)14 C-SL TOL Date:
1 L),
'"GYA~R Ucs I
X76
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Department of Ewh onme nk Health and Natural Resources
Division of Environmental Health
Ch-Site Wastewater Se ctim
SOIUSITZ ZVALUATION
for ON-SPPZ WASTZWATZR SYSTZM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: I. 669a nq- Dtdp Flow (.1949):3.Ao
Location of Site: Property Recorded:
Water Suppiy. Public ❑ Individual ❑ well
Evahwdoa Method: Auger Boring ❑ Pit ❑
Type of Waswwater. Sewage ❑ Industrial Process
Sheet:
Property 1D:
Lot t
File 0:
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
F
R
O
F
I
1940
OM MORPHOIAOY
.1941
THER
PROM FACTORS
L
a
M
Lm dow"
Poai"
Stop 'x
Haim
Dq&
00
.1941
sa++ub"
T43mm
.1941
caeafdt
mhWalow
.1941
soil
Wabnd
coke
.1943
sod
Do& ON.)
.1916
SWO
CIaM
.1944
Rm*
Horis
Prole
cam..
• LTAR
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O3 .
1 l0
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C~ -16
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s
)
sf
s
3
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C
Site Classifim ion (.1948k
Enhated W.
Od= Present: