IPACHTE# lo-~~~~ Harnett County Department of Public Health 2 5 9 3 a
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: Mss
ISSUED TO: Ds atiG .u.1E4t ~Aotry SUBDIVISION N--)A cyexzr, LOT #
NEW X REPAIR ❑XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 cs`D (A 7 :K 5>.-
Proposed Wastewater System Type: PLJ r, P To Q W ZL$% 'P~uc: ini
Projected Daily Flow: 3LO GPD
Number of bedrooms: 3 Number of Occupants: max
Basement Dyes ~ No
Pump Required: 4Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \-0Q feet Permit valid for: Five years
Permit conditions: ` No expiration
Authorized State Agent:: HS Date: -51 y2S I t0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit hold r is esponsible for checking with appropriate governing bodies in meeting their requiremenu. 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, 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 TO: b L.t~c t w L "o r-, f,5 PROPERTY LOCATION: MpcZ~G s R-'
SUBDIVISION P~s~EFoe.b LOT # ~
Facility Type: C~ l~S~~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ,'9 No
Type of Wastewater System** PuN,e~a 5°~a GZtw~-c~oN (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable
P
Installation Requirements/Conditions
Septic Tank Size !a pO gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
n
d ~ /a F- Luc r- 'o ,.f (Repair)
Number of trenches _ 3
Exact length of each trench 6 d
Trenches shall be installed on contour at a
Maximum Trench Depth of.
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: 18 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: Wes L's 0'~V15-"V ?S>< IQ' I- ter. Aggregate Depth:
~~pt fL Sys Gf,
inches below pipe
inches above pipe
inches total
If applicable: /understand the ryrtem type rpecided it different from the type speciTed on the application. / accept the specifications of thin permit.
Owner/Legal Representative Signature: Date:
Thi, fnnctrartinn duthnri»rinrrh-enl.ert r~ ;t _i.._
11 r..., r1°, - ,,,1111,,_„ _ tur wnmuwvu Ruurunuanon snau not oe transierrea when there is a change in ownership of the site. This
e Construction Authorization is subj2,tto comph ce tf i6ri ins of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: F-L~ Date: 3 a
struction Authorization Expiration Date: 3 t5
HTE# Permit # a59W
Harnett (bounty Department of 1"liblic Health
Site sketch
PROPERTY LO(ATON: MAe~ES
ISSUED TO: ~LAG~ ~o SUBDIVISION Aar~c Goan LOT
Authorized State Agent: 9 E ~'S 6 L-W C-0- Vo L OotZ~~ Date:
11;x"
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOILISTTE EVALUATION File
for ON-SITE WASTEWATE Code:
R SYSTEM
fir. Applicant:
Address: Date Evaluated:
Proposed Facility:3 errar\ Design Flow (.1949):34-0
Location of Site: Property Recorded: Property Size:
Water Supply lzugmege ic ❑ Individual cut
Evaluation Method: r Boring ❑ Pit ❑ Well
❑ 13 Spnng ❑ Other
'T`ype of Wastewater: ❑ Industrial Prom ❑ ifuced
R
O
F
1
.1940
MORPHOLOGY
L
~Qo
1 _
E
*
gdOO~
Depth
g
1941
L.1942
slope %
.
skuctww Comietana
Color
Color
n,
a4-site Classification (.1948r ~
Evaluated B3';
Othaa Presrnt:
OTHER
U FAC
1943
Soil
1936
.1944 Pro91e
Re* CIM
ps
s.(