IPACHTE# o-s-- Harnett County Department of Public Health 2 5 8 8 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 Zw6E.' VA>
ISSUED TO: SUBDIVISION Vr-'7b'),-S yt's
LOT # OV',,
NpW-k REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of tructure: q9
Proposed Wastewater System Type: Co c--Gr-+~, io t-i p.L
Projected Daily Flow: 3 h0 GPD
Number of bedrooms: 3 Number of Occupants: r1:1 max
Basement ❑Yes KNo
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well LCO feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: `
D
Date. U
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ~ssua o ermits. The permit holde is res onsible 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, AM, .1956, .1951, .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 T0: g~~ z GLC, ~o PROPERTY LOCATION:
SUBDIVISION PP-no,kS LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes D< No Basement Fixtures? ❑ Yes No
Type of Wastewater System" C-o ~ vE~ i~ o r , t~f (Initial) Wastewater Flow: GPD
(See note below, if applicable
Co N•re.~~o NL (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size se66 gallons Exact length of each trench 5o feet Trench Spacing: `j Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4 - Nq inches
Maximum Trench Depth of. aO -10 inches (Maximum soil covershall 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
Aggregate Depth: inches above pipe
Conditions: AaCEs - l^ANE ~v ~SE \Q Fir,, F tL jy _ inches total
**If applicable: / undecrtand the ryrtem type .rpeciled is different fiom the type specified on the app/icatian. /accept the rpecircationr of thi permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to re on if the
Construction Authonzation is subject to complian twit
Authorized State Agent:
Date:
plat, or the intended use changes. The Constructor Authorzation sha(I not be transferred when there is a change in ownership of the site. This
Sthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Ra15 Date: 2 ~3 1a
n ction Authorization Expiration Date: i ~5'
HTE# 1C) 5
Permit #
Harnett County DeplAment of Public IHealth
Site 'S'lietch
PROPERTY LOCATON: C46G4.4
P2~L U cn[r5 SUBDIVISION 0 ws Q0 t a : LOT # 9,((
ISSUED T0: t ~-Y- ~L§j ~-~,6
Authorized State Agent:.. (00\. ~~y pry Date: d)A 10
r
it
I r
toI
ae6'
D DqwtniW Of Environment, e~th and Natural Resource Sheet-
On-Site Wastewater Section Property ID:
Lot f:
:
S0IUSPPE EVALUATION File Code:
for ON-SITt WAS
TEWATEB SYSTEM
Ownw. Applicant:
Addmu: Date Evaluated: a W)) C
proposed Facility: 311 n ca r~
Location of Site: v J 5 Design Flow . 86 0 5 Prop" Size:
Water Supply: p '~0~ RD00~ril0ded
EvalustiaaMethod: Auger ~8❑ 0 ❑ Well cut ❑ Spring
Type of Wardewater Sewage ❑ Industrial Procet HNfixed
P
R
O
P
1 .1940 MORlhiO[.OaY OTHER
L 1lakm 1941 PRAFII E PAiCTC
91o"%%
Coudda" 1 wM .1943
skuCh"
Tab" G%NW
~ Cdar
6 vF L "s
a 1 (-5 I SIN
Site ClaM&AtIon (.1948k <
d i`
Nun RMN*
❑ Other
19%
.1944 ? oA @
Rao Ctm
Bad LTA
5Z
111
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