IPAC25881
HTE# 10 - 5-a3SSJ Harnett County Department of Public Health
Improvement Permit
~~A building permit cannot be issued with only an Improvement Permit
l r PROPERTY LOCATION: 6uFt AwE 1 r~~...f- eD
ISSUED TO: YN rJ ` ri Nli-~ 0 ucx W 3J SUBDIVISION _ Ckv,\'; tW sJ P, v E.5 LOT #
NEWS] REPAIR ❑ EXPA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 C-C~ L':,
Proposed Wastewater System Type: XS'I% SZEOUC.,~o,v `mss;
Projected Daily Flow: 3~ 0 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 L~Public ❑ Well Distance from well VO o feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent.: ~S Date: r ' o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o e,mim The permit holder is res~onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat or the intended use changes. The Improvement Per 't shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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: ~'1tvrv Cotvs;ctvc,cas,
1 PROPERTY LOCATION:
6uFrr~wE- L;\y L
Facility Type:
SUBDIVISION Carnes'P1
New ❑ Expansion ❑ Repair
\ tNSL! LOT # 1
Basement? ❑ Yes 1Y, No Basement Fixtures? ❑ Yes IX No
Type of Wastewater System** as°/o ~Eci
~<.C Sy 5 ; E cr
(Initial) Wastewater flow: O GPD
(See note below, if applicable
Pu ego 0 N S-45'n-"Repair)
Installation Requirements/Conditions
Number of trenches 67-
Septic Tank Size lb O gallons
Exact length of each trench GC
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: N
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: ft. TDH vs.
GPM
inches below i e
rr
Aggre ate Depth: inches above pipe
16 c ".5
Conditions: S t-~-Tt& c'), ~H inches total
P6G c? d hr (~a rR ~s t_ ~n o~, ` ~o e Ltic A.~t'SS 50 - C"'-S'). o.te'
**If applicable: / understand the system type specified is different Irom the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re if the site plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance the I ons oft aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: A: ~y q~w Date: ~0
Cons on Authorization Expiration Date:
HTE# 1C7~5-~-'~SSf3 Permit # a5; %
Harnett County Department of Publie Heaw,
Site Sketeb
PROPERTY LOCATON: ~uFFwt~oE ~-D Q-w
ISSUED TO: rt CLV C, v o SUBDIVISION Gv, ,ono N N 65 LOT
Authorized State Agent: ~£ii ~p~w SaS Date: o
1 ~~u cS\00
Q(flNQ-
a~ i, I ~ Id`s.
37~
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Cap P }NES o2
DeparMent of Emirvnmad, Health and Natural Resoumes
Division of Environmental Health
On-Site Wastewater Section
SOUJSTTE EVALUATION
for ON-STTE WASTEWATicR SYSTEM
Owner: Ap
Address:
Proposed Facility: 3,
Location of Sits
Water Supply:
Evaluation Method:
Type of Wad"Now.
plicaot:
Date Evalmted.
3EpWam Dedp Flow (.1949): 36 0
Property Recorded:
§;AuWfBodng ublic ❑ b&vidul ❑ Well
❑ Ph
❑ b&nbw Pro«ss 8
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mooed
P
R
O
F
L
1940
SOM MORPHOLOGY
.1941
OTHER
PROFILE FAiCTORs
B
PoWdOW
SIoPo'K
Hafza•
Dspdi
(k)
.1941
l
Talwo
.1941
Caowd"m
mhwalm -
.1941
Soil
WdMW
- Cda
.1943
Solt
.19%
sq"
CLr
.1944
Ratr
Haas
I4oAb
C1r
♦ LTAR
pr ~v~e
' 17,
G L,5
\fFti H'5Y149
tz34 '
x3v- se-x-
ic, i s 1-
0-14
G cs
V cry „ ~
~y-~,~
Ss.lG.SC.L
~ ,St
PS
Site ClaWfimtlcn (.194i~ P ~
Enhmled By: (3'V
Othas hemme: