IPAC RRHTE#c ~ - )u-)--- M'- Harnett County Department of Public Health 2 5 8 3 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: d ~erf-
ISSUED TO. ~/<t✓L 01,141-c~;~ ~ SUBDIVISION T asg . ~vf ~f~ LOT # ~
NEW. REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -S-F D 41tl '415, L7 k -17
Proposed Wastewater System Type: Z~4 ~csG4
Projected Daily Flow: J' G 0 GPD
Number of bedrooms:
Basement ❑Yes oo
Pump Required: ❑Yes f No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: L max
❑ Maya required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
L~ e years
❑ No expiration
Permit valid for
Authorized State Agent:: --1~_-~~~1 Date l (s o2~ !C SEE ATTACHED SITE SKETfH
The issuance of this permit by Veallh Department in no wa guarantees the issuance of other 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 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 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, .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: n st ~cs•~ - crt PROPERTY LOCATION: 9-7
~ SUBDIVISION 7",'1 c- LOT 44
Facility Type: " LTINew ❑ Expansion ❑ epair
Basement? ❑ Yes No Bas men Fixtures? ❑ Yes ❑ o
Type of Wastewater System** ,vr (Initial) Wastewater Flow: GPD
(See note below, if applicable pp
czry- (Repair)
Installation Requirements/Conditions Number of trenches %
Septic Tank Size 0346 gallons Exact length of each trench .f _ feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ( l,Z inches
Maximum Trench Depth of. - Z Lq 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
- 1 E,_ ~.-E C-1 . r f c-- n tAggrepte Depth: inches above pipe
,
AS!-1,3 r b L? I
- 6'e, l0 )4_
inche& total
**If applicable: / understand the system type specired is different from the type speciTed on` the application. /accept the spec1f1w1onr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the 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 compliance with the provisions of the Uws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State AgeDate:
Construction Authorization Expiration Date: 1~2~1J-
HTE# /QZ Permit # a 5--83-7
Harnett County Department of hiblic Health
Site Sketch
ISSUED TO:
Authorized State Agent.
PROPERTY LOCATON: aL7 i,?cj~
SUBDIVISION LOT
#f Date: e f c
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Southeastern Soil & Environmentel Associates Inc,
P.O. Sox 9321
FayeitevAe, NC 28311
Phone/Fax (910) 822-4540
Email mks9southeas%mr,61I.com
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SOIUSITE EVALUATION SOIL PHYSICAL ANALYSIS • LODE) USF/808DIVISION PLANNING .
GROUNDWATER DRAINAGE/MOUNDiNO • SURFAC&SU9SURFACE WASTE TRFATkIFNT SYSTEMS, EVALUATION A DESIGN
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