IPACHTE# I Q- 5-Q,3~ 50 Harnett County Department of Public Health 2 5 91 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~aaOF1LOSA R~
ISSUED T0: wrnc,ELtAsvD ~lpS SUBDIVISION GP+cio~~ rJrs SFrsS6NS LOT # 9-7
_
NEWV REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO ~t-t~ kS~'
Proposed Wastewater System Type: Ca ty-4 E ~otj NL-
Projected Daily flow: 34=,(7) GPD
Number of bedrooms: 3 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 X Public ❑ Well Distance from well (CKO feet
Permit valid for. ~ Five years
Permit conditions
~ ❑ No expiration
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.
5 Date: 3 g 10 SEE ATTACHED SITE SKETCH
other permits. The permit ho er is responsible for checking with appropriate governing bodies in meeting their requirements. This
lN,t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .19% 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. QMQ; LoavC) A01M6 PROPERTY LOCATION: 90rA flFxios-o.
SUBDIVISION Qk10 .-N.4 c, S~o,SOsvr, LOT # ':+'7
Facility Type: SVD "S' - New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~ No Basement Fixtures? El Yes No type of Wastewater System** Cr0n-4 r ~ortfl
(Initial) Wastewater Flow: 360 GPb
(See note below, if applicable
Ca r,~ .r 6,-r' .(3 v p~ L (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size s boo gallons Exact length of each trench 156 feet Trench Spacing:
c1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ~ ~nches
Maximum Trench Depth of. 2~`i--NO 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 pipe
Aggregate Depth: inches above i e
Conditions: W N,vEci- L, .G M os~s gE 10r IPLO~ S Le-5 sG Sys % ~ r~~t P p
M P-1 V H k" d inches total
cz 2U ~N`s a.._ cam..
**If applicable: / aoderatand the system type speciFed is different from the type fpecided on the app/ication. / accept the speciecwt flf of thl~ permit
Owner/Legal Representative Signature: Date:
Thu Construction Authorzation is subject to revocation if [he site plan, 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 comp is a pro" of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 B 10
truction Authorization Expiration Date: 3 '8 I-57"
NTE# Permit #
Harnett County Department of Public Health
Site Sketch.
PROPERTY LOCATON: PoNOUZ-QsP,
ISSUED T0: C„ M r,a ~o~,~s SUBDIVISION LOT #
Authorized State Agent cu5 lot }~E2 ~pL~soO~ Date:
N Ys
1~10~
CCct►.1y
'LE-PPA R
I
150
a~
~~NOEt2.bSP. '~2A\L
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SO[USITE EVALUATION File
for ON -SITE WAS Code:
TEWATER SYSTEM
Owner. Applicant:
Address:
Date Evaluated:
Proposed Facility: 7 ee~;c
Location of Site:
Design Flow (.1949): 3 c
j
Property Size:
Property Recorded:
Water Supply: ❑ Individual
Evaluation Method
Au
❑ Well
[I Spring
:
"Type of Wastewater
ger Boring ❑ Pit
Sewage ❑ Ind
i
i
t P
❑ cut
us
r
a
ro
cess ❑ IVfix
ed
P
R
O
F
1
1940
SOQ. MORPHOLOGY
OTHER
.
L I-Andscape Horizon
.1941
PROFILE FACTO
# Pondon/
Slope % (
1
1941
S1rucA~
C
d
1942
Soil
.1943
on
iteooe
Texduve Mimralo
d/
weColor
ml
Soil
IN
.
a AIN
f i _ f ►
Lf IF-,, ,,a
r _ _ I _ _ _ _ _ F---
Site Classification (.1948r
Evaluated By: c
011m Presets:
❑ Other
.1936
.1944 Proft
Re* Clan
Horis # LTA
-`e