IPACHT€# 10 - s-- z vo7f Harnett County Department of Public Health 2 5 7 3 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-~/Z /z//g
ISSUED TO J~~w>L/,f- 41sad SUBDIVISION
NEW REPAIR ❑ EXPANSION ❑ Si a Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~'D k~
Proposed Wastewater System Type: ZS°.a
Projected Daily Flow: N'Cr GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No LJ Me required based on final location and elevations of facilities
Type of Water Supply: 11 Community 1J Public 11 Well Distance from well feet Permit valid for. 2--Five years
Permit conditions: D ~,{/L y,4 T~l1L ~A.) ❑ No expiration
Authorized State A Date: y- 4 - /0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way 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 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.
7
ISSUED TO: L~J~ ~So~ J PROPERTY LOCATION: J'e- lVle
SUBDIVISION LOT # ~y
Facility Type: Sf /New Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I? No
Type of Wastewater System' (Initial) Wastewater flow: "`X~d GPD
(See note below, if applicable ❑1„
Zs°~~~Ziy y-, {Repair)
Installation Requirements/Conditions Number of trenches Y
Septic Tank Size _/Z06 gallons Exact length of each trench ~b feet Trench Spacing: 7)- Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 1 / 2 ~/finches (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
Conditions:. C / j3E /r' JlT a7-'
/L inches total
**If applicable: /under understand the system type specified is different from the type specified on the app/ication. /accept the s eci&ationr of this permit.
Owner/legal Representative Signature: Date:
_ -1111 - 11,1 .,.l ra,., r.' - Lumigm. lue MIMUUmn nurnorlZanon snau not ne transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State
C inches below pipe
Aggregate Depth: Z inches above pipe
Date: 4 - w - /
Construction Authorization Expiration Date: V -
HTE# l0 -5 -2elo 7j Permit # 5 -7.5V
Harnett County Wpartment of Public Health
'Site 'Siketcli
PROPERTY LOCATON: S/Z ,~zdhC
ISSUED T0: SUBDIVISION LOT #
Authorized State A Date: y " r0
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SIT) WASTEWATER SYSTEM Code.
Owner: Applicant:
Address: Date Evaluated: y s = /d
Proposed Facility: Y3 A6 Design Flow (.1949): q5 a
Property Size:
Location of Site: Pro" Recorded: Watdr Supply: tic p Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring p Pit Cut
Type of Wastewater: Sewage ❑ mhsbw Process Mixed
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