IPACHTE# ►o 8IJ4 Ig6 Harnett County Department of Public Health 2 6 0 2 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NG`3`i W
ISSUED TO: Gv r, eu~r.s~ ~Aa r~C-s \NC- SUBDIVISION m t o-e, arLlr t4" LOT # .
NEW REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S r S7 ~3~;
Proposed Wastewater System Type: pu -9-17.-o C-6c~a~arcAt.
Projected Daily flow: Coo _ GPD
Number of bedrooms: Number of Occupants: Cc, max
Basement ❑Yes ~K No
Pump Required:MYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Z1S Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits, The permit holde is respon ible 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 Improve t 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 T0:-"r^~6cu ASfl l~Or-~Es 1N G PROPERTY LOCATION:
SUBDIVISION M`e6. $a-a.Nthl LOT # L~!N_
Facility Type: S~flL"~~'`3a-~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System"* P 1 0 (-.0 N3 t+~~ b T4 (Initial) Wastewater Flow: GPD
(See note below, if applicable _
k" u Co "VET 1 a c t AL- (Repair)
Installation Requirements/Conditions Number of trenches 6
Septic Tank Size t bbb gallons Exact length of each trench
Pump Tank Size 100P gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. (~L'A
(Trench bottoms shall be level to +/-1/4"
in all directions)
feet Trench Spacing: _SA_ Feet on Center
Soil Cover. 1 -1, inches
incher- (Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM C inches below pipe
Aggregate Depth: inches above pipe
Conditions: W AT~z I srt6 MvsZ 9C>- 10 inches total
**If applicable: / underrtand the ryrtem type rpecified is different from the type rpecifled on the application. / accept the fpecificationr of this permit.
Owner/Legal Representative Signature: Date:
u.1", w --um, a Erie rte plan, Piar, or (Be mzenaea use oranges. ine tonstruchon numonzanon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization to complia ovis of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~6~ Date: _'A
Authorization Expiration Date: 4
HTE # D -5-~ vl 11'l~o Permit # r,),(,C~5
Harnett County Department of ll riblic Health
Site Sketch
PROPERTY LOCATON: VQ C.,'~.``1~..I
ISSUED TO: r^ e-ULL-o,-cC-1 c~C 5 l,~ C- SUBDIVISION M NZF- ,^t C~ LOT #
Authorized State Agent:~~ q10
tS5/
t
Department of Envirmm t, Health and Nature! Resources
Division of Environmental Health
On-Site Wastewater Section
SOI ISITE EVALUATION
for ON-8ITE WAST19WATZR SYSTL%j
Owner. Applicant:
Address: Date Evaluated: Li)
Proposed Facility: 3 5 Design Flow t j oamw c
Location of Site:
Water Supper
Evaluation Method:
Type of Wasewater:
Fropetty Recorded:
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Public ❑ Individual ❑ Well ❑ Spring
9 Auger Boring 0 Pit cut
Sewage ❑ M&Strial Process Mixed
❑ Other
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