IPACHTE# Harnett County Department of Public Health
25869
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: (10~vo~ttd~A
ISSUED T0: SUBDIVISION C.PCg a xi ,v p, S ~psnNS LOT # LJ_
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 51;:-c) (41;
x~4
Proposed Wastewater System Type: P u -,R, n Cb ev ; , o tv AL
Projected Daily flow. 36 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,Public ❑ Well Distance from well t 00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 1 a-7 t 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er 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 into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: ~t'+'S~c^p.2C- uorrC:S 1r~G PROPERTY LOCATION:
o cv[} E2bSD. ~ Q.A 1 y
~D < SUBDIVISION G~4,o Li
p. _~SoN S LOT # ~y
Facility Type: 5 y'~_ ~ New E] Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" ptf e ~a Co N-rlt^r 11VN p, (Initial) Wastewater Flow: ~d GPD
(See note below, if applicable
P ~ np ~ o CpUr Eor c b N 0.L. (Repair)
Installation RequirementsKonditions Number of trenches
Septic Tank Size LO o O gallons Exact length of each trench 7 feet Trench Spacing: `l Feet on Center
Pump Tank Size "0(30 gallons Trenches shall be installed on contour at a Soil Cover. 1~, 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: h. TDH vs. GPM inches below pipe
Conditions: ' Fcta ' G Aggregate Depth: a inches above pipe
5's M? Evn
1 ~ inches total
'If applicable: / understand the system type specifed is different from the type specified on the application. / accept the specilcationf of this permit
Owner/legal Representative Signature: Date:
This fonstrudion Authorizaton is subject to if the sue an, 11a or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authortation is suftt~compliance with~~ritthe and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Con
Date: t a~ 16
Expiration Date: i
HTE# 09 -5-251 p
Permit # a,5~94-
Harnett County I)epailittent of Public Health
Site Sketch
PROPERTY LOCATON: t-s. '5 P.
ISSUED T0: \IJ 01--l rxt~ Inc-,ES SUBDIVISION C-~ OtaW SG~o,aS LOT #
Authorized State Agent: Girls ~O1-'~~n-~soc Date:
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Deportment of Environment, Health and Nahum Resources
Division of Environmental Health
on-site wastewater Section
SOIIJSTTK EVALUATION
for ON-STTL WAST19WATIER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Design Flow (.1949): 3~6 V
Location of Site: Property Recorded:
Water Supply: rAum blic ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit Type of Was n"der ewage ❑ I al Proce~
Shod:
Property ID:
Lot
File M:
Code:
Property Size:
❑ Spring ❑ Other
cut
Muted
1!
R
O
B
I
1940
OIL MOKPHOtAOY
.1941
THER
PROF112 FACTORS
L
E
#
L WWNP
Pori"
Slope %
Hori:am
Deplr
00
.1941
ftmmd
TOO"
.1941
cbmid roe
-mbmaloff
.1941
Soil
Wgumd
Coto
.1943
Soil
Dw6 (IN.)
.19m
SWO
Clue
.1944
RMr
Hans
roll s
Chm
• LTAR
G s
-4FM cv~l
s
5
-Lvj
s
, t~51~
5
Other Factors (.1946k
Site Claaeidcation (.1948k PS
Enhcated By. Q9,-,
Others Prm mt M E