IPACHTE# Harnett County Department of Public Health 2 5 8 6 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: PO-S*_QA5P, i.O
ISSUED TO: WresEsvnpci~t- C) my-.5 \,,.I C_ SUBDIVISION a G~c~Ltnp. p~,o S LOT # 783
NEW REPAIR D EXPANSION D Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~O x3~~
Proposed Wastewater Syste_m/ Type: C '4i; t' t0 N P~
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: - max
Basement Dyes X No
Pump Required: Dyes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well feet Permit valid for ❑ Five years
Permit conditions:
` ❑ No expiration
Authorized State Agent::~\_~_ R
The issuance of this permit by the Health Department in no way guarantees the issuanc
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.
Date: \ O 1 SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, ASS, .1956, AM, .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: \A Wr&una+(tX. )iAomFS ki L_
Facility Type: -51F0 L l~ 3 < New
Basement? ❑ Yes ~Q No
Type of Wastewater System**
(See note below, if applicable
Basement Fixtures? ❑ Yes
_V tj -4 f l a N KX_
PROPERTY LOCATION: Po ND-)CQX5 A Qa
SUBDIVISION CAS o>✓, SFAS aNS LOT #
❑ Expansion ❑ Repair
`:Pi<No
(Initial) Wastewater Flow: 3~od GPD
C.o~..f 0" P,1_ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size tooc-7 gallons Exact length of each trench 50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of a1., inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
Trench Spacing: 9 Feet on Center
Soil Cover. 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
et , Aggregate Depth: inches above pipe
Conditions: W Flz it K~ M J--Yl )p F'Nocn SEky.~,t✓ Sy ~s o OT, L I .V I ES ~~y t inches total
H -<)Z P, C- Q tJ \N v t o,t_ 02. try PsN2 acs E t~S
**It applicable: /understand the ystem type .rpecired it different from the type specified on the app/ication. / accept the rpecijcationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subje ovation if the site plan, plat, 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 mpliance wi ovisio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Q-1F_x5 Date: I t471:5_
Con ction Authorization Expiration Date:
HTE# ~~'SSI I
Permit #
Hai-nett County Department of ll ~iblic Health
Site ' ketcb
PROPERTY LOCATON: Po 0 pC--ZD5A
ISSUED TO: ACC. aL~ oc~ ~NC- SUBDIVISION CA2oL~Na. S~~,Sa,,S LOT # _
Authorized State Agent: Date: No
S LED.lp C-,~
Department of F.avirvnment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSM EVALUATION
for ON-SIT1Z WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Emduawk
Proposed Facility.-3 GGc)rzoo ns Design Flow (.1949): 360
Location of Site: Property Recorded:
Water Supply: Public ❑ lndividwd ❑ Well
Evahodon Method: Auger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Industrial Proces
Shat:
Property ID:
Lot #t:
File N:
Code:
Property Size:
❑ Spring ❑ Oder
cut
Mixed
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1940
OIL. MORPHOIAOY
.1941
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Site CUSAdcation (.1949k 5
E"howl B): pS
Othae Preaart: -