IPACHTE#oc~-5~a3so~ Harnett County Department of Public Health 2 5 8 6 7
Improvement Permit
A building permit cannot be issued with only an'01 provement Permit
PROPERTY LOCATION:- N 0 E C40"5'+ Qr0
ISSUED TO: A-C~t2 MP~tL~L SUBDIVISION ~t~.2o >_1 tY A S 6A`.~ LOT #
NEWV REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO LLkd
Proposed Wastewater System Type: ~MtErK N
Projected Daily Flow: 36~ GPD
Number of bedrooms: _ 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 A Public ❑ Well Distance from well V4O feet Permit valid for. ~ Five years
Permit conditions: ❑ No expiration
d
Authorized State Agent:: Date: A O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance 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, .1951, .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: ~ar~~tcncan.~ ~ptr,~s ~N~ PROPERTY LOCATION: Po~oes~at
SUBDIVISION oLx~Q. St~oas LOT #
facility Type: -:>V0 (I-A6"5t New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~k No Basement Fixtures? ❑ Yes W No
Type of Wastewater System' Ce .I 'J o N Pt L. (Initial) Wastewater flow: 3~d GPD
(See note below, if applicable
(10 NVEJ'r-N v tl -IV {~1L- (Ranairl
Installation Requirements/Conditions
Septic Tank Size 10Q!)0 gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Number of trenches
Exact length of each trench 50
Trenches shall be installed on contour at a
Maximum Trench Depth of- a LA
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: )i inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
w o ~C s~,TS~S 1~ inches total
Conditions: "-J MErt- Li- \ WYY PPF- \6 Si1 " -t) TFF .
r"1Ay " CA2.0p,t~ c7N \N\~~n.L on 'C ~A~2 Qc~•s .
**If applicable: / underrtznd the system type rpeci6ed is different from the type roeci6ed on the appliwian. / accept the rpecifcationr of thin permit.
Owner/legal Representative Signature: Date:
Ti,'.
p'a4 u.r nnenueo wt uiangel. me connrucuon Authorization snap not he transferred when there is a change in ownership of the site. This
Construction Authorization i subj !oc pIi a rr ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State AgentR Date: 2=~ ~o
ruction Authorization Expiration Date: t 15
HTE# 09-5-a3S90'1 Permit # ~.5Eb6^l
Harnett Comity Depailment of Ptblic Health
elite 'Sketch
PROPERTY LO(ATON: Po Nom sP~
ISSUED TO: ~k E-5 1NG SUBDIVISION GPCzA0.Imp, SC*vsdLOT #
Authorized State Agent: RCVS ~o X J L IaLY-SC)C5 e: -110
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Department of Environment. Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISTTZ EVALUATION
for ON-STTZ WASTEWATER SYSTEM
Owner: Applicant:
Address:
Proposed Facility: :Z,3 Cn<too m
Location of Site:
Water Supply: I
Evaluation Method:
Type of Wastewater:
Date Evah sled:
Design Flow (.1949):
Property Recorded.
'laic ❑ Individual ❑ WeU
Anger Boring ❑ Pit
Sewage ❑ Indust<ial Praxas ❑
Shed:
Property ID:
Lot *
File N:
Code:
Property size-
[I Spring ❑ Other
cut
Mined
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F
I
1940
OM. MORPHOLAOY
.1941
THER
PRORU FACMRS
L
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mo"%
Haim
~
sbu.1941
ch l
TUMM
.1%1
conddr
mbmnim
.1945
son
Webud
cow
.1943
sail
.1916
SWO
cim
.1941
Re*
Hasa
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A
ALTAR
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Fn, ~~^tQ
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Lpmmi .wW unam R•p@* sybm Other Factors (.1946k
Avaibbt• S 194! Site Classification (.1948k g
Enh aced B)r (ST
sik-m • , J co N Others Prearnt:
Sib LTAR