IPACHTE# Harnett County Department of Public Health 2 6 a 2 1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: H oov~t-
ISSUED T0: Q ~V 1 t 012-5 SUBDIVISION QEn tMr,p„s LT LOT #
NEWXI REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
s t 1'
Type of Structure: _5 qSJ (3,)-x
Proposed Wastewater System Type: Po rnQ Tg 25% ~.6au< rv o j Sys s
Projected Daily Flow: 3,d GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: 'dyes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 04 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: S 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss ce 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, .
with the attached system layout
1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by reference
s into this permit and shall be met Systems shall be installed in accordance
ISSUED TO: ~ t-o 1 S
PROPERTY LOCATION: gco
j E2
Facility Type: 5Gfl ~3C1',Q5 LAD
SUBDIVISION -Pia-2,6 \mmot t 1\ \ t > LOT # ~o
New ❑ E
i
❑
'
xpans
on
Repair
Basement? ❑ Yes
~4 No Baseme
nt Fixtures? ❑ Yes 'W No
Type of Wastewater System**
1~).5alo Pi uc.-Ctn Sy F4\
(Initial) Wastewater Flow: %C) GPD
(See note below, if applicable
P ~ tne~
odS°la R C.a LC,-\ ON S/s-r&r-s (Repair)
Installation Requirements/Conditions
Number of trenches 4
Septic Tank Size t 0 gallons
Exact length of each trench SS feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. ~o inches
Maximum Trench Depth of: -N inches
(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
inches below pipe
Conditions: WIC-Q-l..-v,,,c- R
r Aggregate Depth: inches above pipe
E~U Yaom SEP-ry- Sv3rE~ ~)10 U-T ti
t,ES
MDC) ~GfLp t~~ ~ tit 1 N \'C 1 D~ L Ot1_ ~[-_QP~ 1Q. 1'~~LC.P H \ ~lr!'Lr^ ~"C
,
inches total
~ A'SF~I C~ tJ ~a-C)PO
['fLd hl1
~L
~PeLtGsX 'r-,S So t L
.
_
'*If applicable: /understand the system type specified is different from the type specifed on the app/ication. / accept the spec1f1w1onr 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 sub ct t comp i e ro ' s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: e C111\5 Date: 45 vo
Construction Authorization Expiration Date: 4 s` f
HTE# t 0-S 2 C~,5o Permit #
Harnett County Department of ll~tblic Health
Site Sketch
PROPERTY LO(ATON: \Aooy0L
ISSUED TO: SUBDIVISION _Pea,*) ~r,K.b N N LOT # Cg
Authorized State Agent: QU,S pew -rpL~s2 0S Date: ~115I10
r
ao Q
1 ~1
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:
Addrem
Date Evaluated:'4)~AW
Proposed Facility: 3rsar Design Flow (.1949):365) Property Size:
Location of Site:
Prop" Recorded:
Watet Suppu[jr.
1>tc p MdMdual ❑ Well El Spring C-1 Other
Evaluation Metbo& rA ge r g [1 Pit Celt
Type of Wastewater: w
p I
~
age
ndustrial Process
Mvmf
P
R
O
P
SOIL MORPHOLOGY OTH
[ .1940
L LambeaPs
ER
.1941 PROFILE FACTORS
Horizon
S Political
M Slops %
.1941
Depth .1941 .1941 soil 1943 .1936 .1944 ProAM
(In.) 9ft
m d
e
Condatm a Welnesa/ Soil SWO Redr CI M
Taxwe Micrrab Coin
IN
i S -4o~u
. Clan Hans # LTA>t
5 s e 01, 31+
0-1-7 L vF2 IV5 .
(7"'-~b S0 cL-
DeamPBou
Initial R System Othar Factors (.1946X
Available 9 s
a .1943
S steal Site Classification (.1948} r3
S Istela
S a
Evahated By:
~
d ~ PJ rw4s t'O
Site LTAR
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Others Pfe9at: