IPACHTE# , o -s-a Harnett County Department of Public Health 2 5 8 8 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: \~Eo.`r ECi i E Eu~4er % SUBDIVISION S y h r, LOT # ci L-
NEW,X REPAIR ❑ EXPkN(ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: N v er r; s 0 N t~
Projected Daily Flow: 3Co b GPD
Number of bedrooms: Number of Occupants: ~-c) max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well t C) feet
Permit conditions:
S Date: ~13 SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Authorized State Agent.: _ -
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
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: E.P•vFsi, 6yG1-OPr,,Z,ij
Facility Type: S~~ CSC 0D
Basement? ❑ Yes No
Type of Wastewater System" _
(See note below, if applicable
Permit valid for.
Basement Fixtures?
C U N v C--"-,:: O J,
New
❑ Yes
.t AY,..
PROPERTY LOCATION:
SUBDIVISION S U MM
❑ Expansion ❑ Repair
No
X Five years
❑ No expiration
LOT # 9_
(Initial) Wastewater flow: 3(It, 0 GPD
Cdr, v Gar--"L d N I;>, P L- (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size a o gallons Exact length of each trench 119- feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: - ~Ll inches
Maximum Trench Depth of: ab- 3 to inches (Maximum soil cover I- 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 pipe
Conditions: WASfn
L~,a6
E a C2o,,
Aggregate Depth:
SLg~~ SAS
Z' inches above pipe
1~inches total
-If applicable: /understand the system type specified is diNerent #om the type pecified on the app/icatian. /accept the rpecidcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i site plan, 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 su ect compliance wi e pr o the and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~ Date:
Authorization Expiration Date: 19.1 15
H T E # 10~~-a343b Permit # a.s,103
11,11 nett (county Depailinent of I'itblic nealth
Site Sketch
PROPERTY LOCATON:
ISSUED T0: \J Ea`t GcZ. EJ CLaQ >T SUBDIVISION s u m r-, LOT # ct 4
Authorized State Agent: ~s `QL%v 'i0L` s0csDate: a. ) ld
ap
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GP6SLEQ_or K, j)CL
PqMtueW of EWAmnmad, Health and Natural Resources Shat:
Division of Envkonm=W Health Pmwty fl):
On-Site Waateaata Samoa lut:
S01L/SffZ &VALUATION File
r- o Code:
r 11-3111 lb wASTMAKER SYSTnt
Owner: Applicant:
Address: Date Evatueted:
Proposed Facility: 3 e DcdP Flow (.1949): 36oa
~
Pro
rt
Si
J
Location ot Site: P
, R
d
d-
y
pe
ze:
~h
ecor
e
water Supply: Public ❑ Mvidud
❑
Well
Spring
Evaluation Method: Auer Bming Pk
Type of Wastewater: S
cut
ense ❑ wusuw Process
Mimd
r
R
O
F
1
SOIL MORP110I,OQY
OTHER
L
1941
PROF11,8 FACT(
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.1943
1943
oa
ta"
Taftm
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! S o'/ ~~60 C. T VF& t,..f Lto
, bL s i Yom- %310
❑ 0am
.1911 .1944 ftft
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Hans • LTAR
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Site Classi6catian (.194ik
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