IPACHTE# I C) -~s DZ5 ~ Harnett County Department of Public Health 2 5 8 6 a
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L 1`6>-« 4
ISSUED TO: 'l y G)-~ Sv c2 ~ ES e I L-'0 93- SUBDIVISION \r1 a.Lr,y-C C-2xsvE. LOT # a~l
NEW)( REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ` );c C7 ( trS x Lv:C
Proposed Wastewater System Type: (1-o svyE-J"~ to N N t~
Projected Daily Flow: "'Sh O GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yes XNo
Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 10 0 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: N I A`l 110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss 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, .1951, .1958. and _1959 are incorporated by references i
nto this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: UG)-T 5v2-x.25 tl~)~ s ~oFSLS PROPERTY LOCATION:
SUBDIVISION W ALiu U -N
Facility Type: S ~U CSS" x y~:~ X New ❑ Expansion ❑ Repair
C, <zov E LOT #
Basement? ❑ Yes '-U No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C4 wr 4'1~n~tt
(Initial) Wastewater Flow: 3~Od GPD
(See note below, if applicable
a4 -4 6.11; c0 N t~+l-- (Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size L Cc o gallons Exact length of each trench 50 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of. 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
S
Aggregate Depth:
inches above pipe
Conditions: _~Ai L-NNL Mos c NO
Fcigm ~.c- Sy~s~.M
,a inches total
**If applicable: / understand the system type specifed is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/legal Representative Signature: Date:
p a a y ati u o iomnaeu ilye uiarngU. uie consuucnon Authorization snap not ne transterreo when there is a change in ownership of the site. This
Construction Authorization is subct t omplia t n f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: w 4)15 Date: S f1 -)o
uction Authorization Expiration Date: %11
HTE# 10-5- a352.,4 Permit it
ISSUED TO: ~A 0
Authorized State Agent:
Harnett County 1)epa lment of Public Health
Site Sketch
PROPERTY LOCATON: L-P,59; E2 2-D
Sul ~ ~o SUBDIVISION \-A PQ--N Vs Cc'z v LOT # 2-1
L)v6Q,-10 xsoo((F Date: { l5I to
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITZ EVALUATION
for ON-SITZ WASTEWATER SYSTEM
Owner: Applicant:
Address: Data Evaluated:
Proposed Faality: ~ xwa~ Design Flaw (.1949): U<3 aj;\
'
Location of Sits Property Recorded.
water supply: Public ❑ Individual ❑ well
Evah adon Method: Auger Boring ❑ Pit ❑
Type of Wastewater Sewage ❑ Industtiai Process
Shed:
Property 1D:
Lot M:
File
Code:
Property Size:
CI spins 13 other
cut
Mixed
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Site Chwi6cadont (.1 %0 -16
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