IPACHTE# Io-S-Harnett County Department of Public Health 2 6 0 0 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I N6To QD
ISSUED TO: SUBDIVISION PPrtd~ 'T LOT #
NEWWI REPAIR --,EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ' sI S7 C-$ -3"
Proposed Wastewater System f,Typ Type: Corw~~.c«otvA>_
Projected Daily Flow: 3E~U GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
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 100 feet
Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State Agent-.: ~Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depa7vnent in no way guuance of other permitr. 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 canges. he Improvement P
ermit 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, ASS, .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
ISSUED T0: Cvfi, czaL T 10 r,t:,S PROPERTY LOCATION: 1 N, &-'Ise Facility Type: S D(1.2 q I-D New
Basement? ❑ Yes 'V11-1 No
Type of Wastewater System" _
(See note below, if applicable
Basement Fixtures? ❑ Yes
40"vtrJN At.--
SUBDIVISION 46 eal 1"C LOT #
❑ Expansion ❑ Repair
No
C--'.s v "per. (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size s o00
gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. aZ~-3 CS inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: \APC76-c. S. \4 \v-57 ?jF \ (,_...nr_ S
lU
(Initial) Wastewater Flow: 3b0 GPD
Trench Spacing: '2:1- Feet on Center
Soil Cover, Aa: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
0
inches below pipe
inches above pipe
inches total
**If applicable: /understand the ryrtem type speciled it dih`erent tram the type Veciled on the app&dtion. / accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
This Constraction Authorization is su le cat on if the sit Ian, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
ConsVUCtion Authorzation is subject pliance with on the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Con ruction Authorization Expiration Date:
HTE# 10-'5- a3 c)SV A Permit # -604^j
Harnett (county Depa'Arnent of 1-~iblic Health
i to ketch
PROPERTY LOCATON: 1 ►N BEN P`,~
ISSUED TO: ►LL CA-PA"-4 xOC~CS SUBDIVISION p~oraS o~~'c LOT # 4
Authorized State Agent D
ate: 1.'
15$'
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Department of Environment, Health and Natural Resource's
Division of Environmental Health Sheet:
Shed: ID:
On-Site Wastewater Section LoProperty t
SOUJSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner.
Applicant:
Address:
Date Evaluated:
Proposed Facility: 3 moo- Design Flow (
1949): -54,0' ~?O P
Location of Sibs:
.
roperty Size:
Property Recorded:
Water Supply:
Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:
uger Boring El Pit ❑ Cut
Type of Wastewater:
ge ❑ Industrial Process ❑ N
P
R
O
F
I
SOEL MORPHOLOGY OTHER
.1940
L SP's
Horizon
.1941 PROFILE FACTORS
E Po,itioel
sk
pe %
b
(In.)
.1941
1941 .1941 Soil
1943 .1936
structww
C C
g
_
.1944 Ptot7b
on
don" Webmw soil S,pro
Taxh" M
Cotes IN. Class
Re* Clue
Hail # LTAR
-6e- Sc L ~p 55
"
a
d a~
s vFCL Nsl
Ps
~
3
Olt
C`,
Vc n.~ wS~~Q
De,rnphon
Initial
S at
Rep* system Other
F~to
rs (.1946):
t
1946)
vail,bls 9 co
A .1943
site Cla 6c
"
(
.
dern
c r r
e c nl Eveltatted 13y:
Site LTAR
U
OtheYS Pfe9dlt:
G ~~-3d
Sxk+0