IPACHTE# ► O-5~363~
Harnett County Department of Public Health 2 5 8 7 5
( Arovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 sN6En, Rfl
ISSUED TO: W _-P.yE2 0 SUBDIVISION c-y ,.tz~ R~ o6E LOT #
NEW> ' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ~O t 1;6 -J )
Proposed Wastewater System Type: Pomp '\a CoN E,,r; czu to
Projected Daily Flow: F~3 GPD
Number of bedrooms: 3 Number of Occupants: S/o max
Basement ❑Yes >~r, No
Pump Required:.XYes ❑ No ❑ May be required based on final location and elevations of facilities
type of Water Supply: ❑ Community ^ Public ❑ Well Distance from well too feet Permit valid for. X Five years
Permit conditions:
❑ No expiration
Authorized State Agent.: QED 15 Date: 4 10
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan ther 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 Improvemen rmit 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: Svc Co IN G PROPERTY LOCATION: 1 t N 6~~, RD
SUBDIVISION S ur~s;_-c LOT # .)L_
Facility Type: SFflW 3a:) New ❑ Expansion ❑ Repair
Basement? ❑ Yes .2~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Pu Mp 7~ o C.o ,o (initial) Wastewater Flow: 3G,~ GPD
(See note below, if applicable)
Pu M p--v o C o r 4C__ NJ , LO N Atr (Repair)
Installation Requirements/Conditions Number of trenches 21',
Septic Tank Size t do o gallons Exact length of each trench -7-5 feet
Pump Tank Size ► ba gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: f'R -3C Inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
Trench Spacing: Feet on Center
Soil Cover. 6 - ~4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Conditions:
L~avE Fa,o M ~P.~.,~ g a.oC~E2-cy
L,.,.+E,
~otL~,., ra
Aggregate Depth:
cz.p U N ~ sST v (L_$EQ A ~E
~ inches above pipe
14
L
a,6
MV'~~ 6 ~2UM ~L L
~ACLs~
OS:' ~N~
cZ
SEPS~G Syg~E+~
, inches total
*If applicable: / uederrtvd the ryrtem type tpeci led it different from the type rpeciTed on the application. / accept the specifcatioar of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to n if the
Construction Authorization is su 'ect to compliance
Authorized State Agent:
Date:
plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
o s Date: (L41 18
I _41
Authorization Expiration Date: a H t
HTE# LO ~~-a3~3~i Permit # a55
Harnett County Dep-M-finent of Public Health
Site ketch
\ r PROPERTY LOCATON: r4 Gr N Q
ISSUED T0: co • IN L SUBDIVISION 5 y-a OG LOT # t
Authorized State Agent: it+s a ~~v~ ToLFSQa~ Date: y~~ b
103 '
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DiDepartnicul vision of~ H~Han ~ and Neturai Resources Sheet;
On-Site Wastewater SeWm Property ID:
Lot:
S0EUSrTZ ZVALUATION File aft;
fof ON-RITZWAS TZWATZR Code:
SYSTZiVI
Owner: Applic=t:
Address: Date Evaluated: 46) 1 o DcIiP Flow Lotion o(S ~ 3 ~a'r~r c pmPuty R hum 'dg ' Size:
Water Suppy: Public ❑ kdhi&d ❑ Well ❑ sus ❑ Odra
EvahrMm 1lddhock Auger Bolin ❑ ft cut
Type of Wamewater; Sawase ❑ wuswdl p 8 Mbwd
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t
.190
SOLMORMOLOOY
OTHER
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PROFII 8 PACTM
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Site chwfimim (.1944,
ur r r E"hmkd By:4
Others Presort: $ r►
.1964 Flom
1~ cbm
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