IPACHTE#_ ►o a3~- Harnett County Department of Public Health 2 6 0 0 4
Improvement Permit
A building permit cannot be issued with only an_Improvement Permit
PROPERTY LOCATION: f true 1~g
ISSUED T0: $ C~ i, Qd t SUBDIVISION _ Rx`fi ,N S Po t~ c LOT
NEW,K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ri~~~'~3ro~
Proposed Wastewater System Type: Pvc^ 9 S o Cgr-rg v~omw
Projected Daily Flow. 3.i--, o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes '>kNo
Pump RequiredAyes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 104
~ feet Permit valid for. Five years
Permit conditions: E No expiration
Authorized State Agent:: S _ Date: LI b \o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit hol r i 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 Improvemen ermit 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, .19S7, .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: 27I L_.L Ca. FNCL_Id_ \ ►Q rINU PROPERTY LOCATION:
\ SUBDIVISION Pprr\O~s Pot LOT # N?
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes. No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** R, , T a Co ,,,j E, r«o j xL (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
Putnt-TO Cot,vG,.T~~o~gl~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 100 o gallons Exact length of each trench 54 feet
Pump Tank Size t 0027 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. IT f inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
N
S u 1>v rc~v, t_
Trench Spacing: 9 Feet on Center
Soil Cover `~nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: inches above pipe
a S inches total
**It applicable: /understand the system type rpeciped is different from the type specired an the app/icafian. / accept the rpec1f1c3#0flf of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to tion 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 subje mpliance with a ns ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 4 .6 10
ConstrR C~v5 u ' Authorization Expiration Date: 4
HTE# 10-5-~3ct-J~, Permit # ~
Harnett County Department of Public Health
bite 1, ketch
PC) PROPERTY LOCATON:
ISSUED T0: ~ CLA SUBDIVISION ~p,TO rvs s~ LOT #
Authorized State Agent: ¢Fx56LOES Tbt Dater
C\
Pi r CA, 1,,, 6"L
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner:
Applicant:
Address:
Date Evaluated:
Proposed Facility-3 ~4~ c r , Design Flow (.1949):3 Prop" Size:
Location of Site: ite:
Property Recorded:
Water Supply;
Public ❑
Ildividual ❑ Well
C1 Spring
C1 Other
❑
Evaluation Method:
Auger Boring ❑ pit
cut
Type of Wastewater Sewage ❑ Industrial Process ❑ M
ixed
P
R
0
F
I
RPHOLOOY OTHER
.1940
L L.atdacapa
1941 PROFILE FACTORS
Haizun
F
E slope %
# Slopoli
.1941
Z .1941 Soil 1943
(In) Con dem wemead
.1936 .1944 ProAla
Soil
Mineralogy Color IN.
Sapro Retr Clap
Clan Hans & LTAR
*1 S`/o
"b C, J
~r r
S
Descri Pdon
laftw Repair Sydem Other Factors I MY
Available S ce .1945
S d Site C1a.Rti6cation (.1948r V-)
dem
a
ltiated By 01-\\
U CO r / t cG , /
m
Sib LIAR
PPl.Md.
Oth