IPACHTE# ~Q..Sac Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: L(, CL Co s~ SUBDIVISION
NEW REPAIR E-NSION ❑
Type of Structure: ` Q D ~
Proposed Wastewater System Type: -yQ-,-K 10 s (,--,L
Projected Daily flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
25873
LOT #
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuaoteother 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: C¢-A)c~Hy1-KL Co . PROPERTY LOCATION:
SUBDIVISION
Facility Type: K New ❑ Expansion El
Basement? El Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System** ~-viv rG~s, K-) t-s ~C
(See note below, if applicable
CCt a N '~\t_.. (Repair)
Installation Requirements/Con itions Number of trenches
Septic Tank Size gallons Exact length of each trench tiG~ C
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-
( Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Repair
(Initial) Wastewater Flow: 3C j
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
{ Aggregate Depth:
Conditions. p+i (cL- 1r E 1~t5 ; cr. G ~y5 1r~
GPD
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
nuurvn euou a wufCU w rerq$&uou n we she plan, piar, or me mtenaeo use changes. me lonstrUChon Authorization shall not be transferred when there is a change in ownership of the site. This
fonstruction Authorization is subLect to compliance with iia~_ s ohki-aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
LOT #
Authorized State Agent: Dater
Constr ' n Authorization Expiration Date: (I
HTE#Permit # `a5~3
Harnett County Deptilmerit of Public Healtll
Site Sketch
PROPERTY LOCATON:
ISSUED TO: C-19'K, K-i Loy SUBDIVISION LOT #
Authorized State Agent: a E,,, o~ ivG,Y Col ~rsovR~r Date: a
Rosa ~ p ~ A N tZU
1321,
Depiartment of EwAmnmenk Health and Natural Resources sheet:
Division of EwAmamental Health prey ID:
On-Site Wastewater Section Lot alt:
-
for EVALUATION File Code: ON-SIT& WASTEWATER SYSTEM
Owner: Applicant:
Addceua: Date Evaluated:
Proposed Facility: 3 mac a Design Flow (.1949) 66 Property Size-
Location of Site: "1
Water Suppiy: )S bli ❑ in&Vwud ❑ Well ❑ spfms ❑ Other
Evabu tion Method: Auger goring ❑ pit 8 Cut
Type of Wastewater: I Sewage 13 Wismal p Mbwd
R
O
F
5011 MORPHOIAOY
OTHER
I .1910
L L
1941
PROFILB FACTORS
m~
P
lr
Slope %
Hwkm
(IL)
.1941
9 w1
.1941
c
d
.1941
soil
.1943
.19%
.1944 Prof
T430M
dn
d.o.
webmw
soil
S"M
ReW Ciw
Cam
cl~
Horis • LTA
CY j G~
d
-S
I
YFa.,v~
C_a V
~
-Q~ G -t, w2 r.,?1"
F-
AP,35'
Shy ~ S U. V" 15j/ v ~ I,oi2-i 35 P~.
fi
site Cles ificetion (.1948
EuhmW By
Odm Regent
u ~