IPACHTE# I C7-'s a35 Harnett County Department of Public Health 2 5 8 6 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1-ps-5 _ <Zp
ISSUED TO: t`loss\~o cr,q- Q) v e L-QGA-.s l^s c_ SUBDIVISION LOT # ro
NEW REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SO'
Proposed Wastewater System Type: J'~5 e-6o v cac w
Projected Daily Flow: 3(O GPD
Number of bedrooms:Number of Occupants: Co max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well t07 feet Permit valid for ~ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ 5 Date: 1 'a-> 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ter permits. The permit holder is re>Fponzible 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 rmit 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: Moss Ae)mF- 1i) U EAR tN c PROPERTY LOCATION: L-Asp.-cEcL Q~
SUBDIVISION W a1-ty~ Q CWJ K. LOT # ro
Facility Type: S6-"p (So"nso~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~4 No Basement Fixtures? ❑ Yes K No
Type of Wastewater System" 9; S °le R y caw a 'S S -Y s (Initial) Wastewater Flow: (,O GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size V00 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
(Repair)
Number of trenches 1
Exact length of each trench 6 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: t S inches
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
Conditions: L-,, q-- f'ivs~ X10' Fapc~S
M A I N ctt" E-- c, p o. c,. s ~u `a ,`C 1 s-,t__ c:) ci,
P~vn-• ~~c.D,
U-s I L. t
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: / unde>rtand the system type specified is different from the type specified on the application. / accept the speci6cwt nr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiert to rrvnrntinn if rho ite „i- nk, nr It,n i-.A., - .6...,.,. Tr.. r.........:__
, -.._..al.....' . .,a--- wac u a wange in uwnersmp or the site. ims
Construction Authorization is subject to comp is tlLt pro nt\ts of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t ~ti t0
Cons tion Authorization Expiration Date: fd
NTE# 10--5-'a351-45 Permit #
Harnett County Depailinent of Miblic Health
Site Sketch
PROPERTY LOCATON: AsPC~- Rp
ISSUED TO: CV--6 \Ao,.-. bu »Ga.6 N m c, SUBDIVISION ~ n.t-au yC Gck,~L LOT # ~o
Authorized State Agent: ~~5 ~OLwCrt ~Cot_~~SDC Date: ~~110
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Depu townt of Eavironmers, Health and Natwal Resources
Division of Enviromnental Health
On-Site Wastewater Section
SOIUSITL BVALUATION
for ON-SM WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Faality:
Location of Site:
Water Supply:
Evahwdoa Nkdmx :
Type of Wastewater:
Shed:
Property ID:
Lot t
File
Code:
Date Evaluated:
Design Flow (.1949): Property Size:
❑ POW 13 movidtml ❑ Well ❑ Spring ❑ Other
AugwBoring 0 pit cut
Seww ❑ bdustdw Process NGXW
P
R
O
F
SOMLMORPHOLOOY
OTHER
I .1940
L
h
L
.1941
PROFiLB FACTORS
m
ap ri
Po
%
Hwiza~
ap6
(bL)
.1941
SNUOMW
.1941
C
d
.1942
Soil
.1943
.19%
.1944
Proms
Taxwo
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webmw
COW
Sail
DOM (IN.)
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Raw
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Site ClasaiHe+Uim 1 "0
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Othara Freant