IPACHTE# Ste. Harnett County Department of Public Health 2 5 8 7 2
Improvement Permit
A building permit cannot be issued with only attprovement Permit
PROPERTY LOCATION: 01;~,,Lxv
ISSUED T0: SUBDIVISION (1-1k kI- 2d L4 P NLOT #
NEW X REPAIR 1 E ANSION El Site Improvements required prior to Construction Authorization Issuance:
Projected Daily Flow. GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes No
Pump Required:)QYes El No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public El Well Distance from well 1C, a feet Permit valid for. ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: \ )--A 70 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f 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, .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: `A `,/"y~ (:~_o v 4 PROPERTY LOCATION: (6 E- L ~`t C
SUBDIVISION C--,-Cs~0 LOT # }
Facility Type: New E] Expansion ❑ Repair
Basement? ❑ Yes a No Basement Fixtures? ❑ Yes,, X No
Type of Wastewater System" 9 3-! ~ o NgC:-)uC%, \r) s~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
QV ~`Tv c-V° ~.G~~fC~i f d ~,"t (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size A gallons Exact length of each trench
Pump Tank Size \ C( c- gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZI-2-1
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
feet Trench Spacing: cl Feet on Center
Soil Cover: A inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Conditions: P~E¢
00, 51 G
~
Y.!57 Err"
Aggre ate Depth:
1f1f5 c ,1Z
inches above pipe
inches total
**If applicable: /understand the system type specified if different from the type specified on the app/ication. /accept the rpecitcations of Chi Perm.
Owner/Legal Representative Signature: Date:
o „ -J- ic, " me vte plan, plat, or me mrenueo use changes. ine Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the-taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: k L\S Date: C1 1 b
Constructiii horization Expiration Date:
Type of Structure: fl -36
Proposed Wastewater System Type: PO l~,,? i 0 ct
HTE# WO Permit # 3,
Harnett County Depailment of 1' iblic Health
Site sketch
\A PROPERTY LOCATON: Z-, ,
ISSUED TO: ~CX11 ,3--C2 C. N SUBDIVISION Cc>. c~c>,~ Q~~vE LOT # 14
Authorized State Agent ae, ~aL~wCst of bo Date: 1 ay 11~
►~3
rib
DepaAmat of EavimnmeK Health and Natural Resources Sheet:
Division of EnvkonmmW Health Property ID:
On-Site wastewater Section Lot
SOILSITE EVALUATION File 0:
for ON-SITE WASTEWATER SYSTEM Code:
Owner. Applicant:
Address: Data Evaluated:
Proposed Facility: 3 GC4)WC)4b Design Flow (.1949): 5<.o Property Size:
Location of Sits Propmty Recorded: g~
water Supply: Auger k 0 D p well ~ p Spring p Other
Evaluation Method:
Type of wastewater: 3awa®e ❑ to Process Mixed
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
B
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.1941
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.1942
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.1943
.1936
.1944 PeoAN
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Bari: & LTA
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Site Clmsifttion (.1948 C~5
Evelueoed By: d
others Present: -