IPACHTE# ,IC-s= -yo-70 Harnett County Department of Public Health 25961
Improvement Permit
A building permit cannot be issued with only an Improvement Per t
PROPERTY LOCATION: _i~ /orZo to,~clc r ~sR
ISSUED TO: ~C o,y ~ncFt uGO SUBDIVISIONi at3 ~CU Tu~tt LOT # S'-~'tf
NEW i~K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF b K8
Proposed Wastewater System Type: C, (M V-4 4- ot~
Projected Daily Flow: C~ ~3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Plo
Pump Required: ❑Yes L No ❑ MM `be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public ❑ Well Distance from well feet Permit valid for. ® Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~Date: 7 ;(re ° SEE ATTACHED SITE SKETCH
The issuance of this permit by ;th alth Department way guarantees [he ssuher prmitsThe permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if 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: G~ E-~ • 0A PROPERTY LOCATION:
Facility Type: , S F D 2 ""New
Basement? ❑ Yes 2" No Basement Fixtures? Yes
Type of Wastewater System** CO Je-lk~-`-Q. Le
(See note below, if applicable
SUBDIVISION /acs e LOT # S"'t.4
❑ Expansion ❑ Repair
❑ No
Ca~tlen `,-Q- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench O?qo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: f$' 4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
(Initial) Wastewater Flow: 360 GPD
Trench Spacing: / Feet on Center
Soil (over 6-/k inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM C" inches below pipe
Aggregate Dept inches above pipe
Conditions:, \'0t, s,, ti~•>Ler a, o a cs ~~~r f- t11C~~j~,~A~ R
m
~ rhac fnfal
it.
1 ~41~ '~X. ~✓O.<n
**If applicable: / understand the system type specified is different from the type peon the app/icatioa. / accept the specifications 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 comph nce with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this pe it SEE ATTACHED SITE SKETCH
Authorized State Agent-
Date:
Construction Authorization Expiration Date: 7 2.01f-
HTE# 3-,Ye 70 P .t # o~ Y--k~ /
ermi
Harnett County Department of 1'tlblic Health
Site sketch
L)
PROPERTY LOCATON:-5--,/oZ-/ / QvAd--r ~s /4
ISSUED TO: ~krkj.~V~t SUBDIVISION v-,w4 k e- LOT
Authorized State Agent: Date: /Z l I
X s-~,,Paa-wv I.( G9 itee4Qd
2-o
A C~s-
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSTTE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Coda.
Owner.
Applicant:/
Address:
2G
Date Evaluated:
Proposed Facility- Design Flory (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply.
iic [I Individual ❑ Well ❑ Spring El Other
~
r Boring ❑ Pit cut
Evaluation Method: isgex
Type of Wastewater:
❑ I
d
ge
n
ustrial Proem Fixed
P
R
O
P
1 .1940
SOIL MORPHOLOOY OTHER
1941
L L aedaoap
.
PROFR,B FACTOR3
e Horizon
1941
E Position/
# Slope %
.
Depth .1941 .1941 Soil .1943 .1936
(In.) sbucra l Comidenee wetnesw soil Sipes
.1944
Rear
Pmft
Claw
Minenb Color IN, Clan
Hosiz
ALTAR
7
(Z / T
`
S
" ~b JC/
Dacnption
Initial Repair System Other Factors (.1946
S dem
Available s q .1943
Site Clasi6cation (.1948yP-f
dam a
Site LTAR
Evahmted By:,&,,,
- Others Present: