IPACHTE# 10-5-a~Xti<~ Harnett County Department of Public Health 2 6 0 2 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION:
ISSUED T0: SUBDIVISION Cpr~..ow_ nsAS~SQas LOT #
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c00 ;
Proposed Wastewater System Type: .,vFnrs~ rt c-, L
Projected Daily Flow: 3(~,b GPD
Number of bedrooms: 3 Number of Occupants: (o max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Sup Community `~K Public ❑ Well Distance from well IOCJ feet Permit valid for Five years
Permit conditions: ` "I ❑ No expiration
Authorized State Agent.: Date: \U SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is 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, .1952, .1954, .1955, .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 TO: --Sl Q 6:- <?EQ-S IN C-
Facility Type: Sq-'D 601 X New
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes
'b 0
Type of Wastewater System** Co H-J o rt ?,L- (Initial) Wastewater Flow:
(See note below, if applicable
0 H~4E,n'n N P,L (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size ► O O d gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench DSO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. a''''30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Conditions: W P<~ Fsi1--~^'~ ~u3> l0 i
C44-4,\1 ors 1~.tsorr 00- 7
PROPERTY LOCATION:
SUBDIVISION Cana L, N D, S4Aso o5 LOT #
❑ Expansion ❑ Repair
-
GIRD
_ inches below pipe
agate Depth: inches above pipe
>`N- s 1Z inches total
**If applicable: / understand the system ty pe specified is different from the type specified on the app/icatian. / accept the rpecificationr of this permit.
Owner/legal Represen i e Signature: Date:
This Construction Authorization is subject ocation if the ite 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 e t to compliance wi ovisi the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Trench Spacing: 9 Feet on Center
Soil Cover: I ;L- N~i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
StG_SyST6;-, y. ~e &
Ita-
Authorized State Agent: - 5 Date: 11
o ction Authorization Expiration Date: 1
HTE# IC 5- DL1119 Permit # < oC' ,C,
Harnett County Department of 1'iiblic nealth
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 's- e> C. s SUBDIVISION C.wnoc-lN-P\ SC p,~n,,,S LOT # 43
Authorized State Agent: ~pC w 1 c3L Date: q l ~cl ~0
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Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health Party ID:
On-Site Wastewater Section Lot
File
SOIUSTTE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): -~,c- b Property Size:
Location otf Sits Property Recorded:
Water Super. `,Public ❑ Individual ❑ Well ❑ Spring ❑ other
Evduadon Metlwd: Auger Boring ❑ Pit cut
Type of Wastewater: Sewage ❑ Industrial Process Mixed
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p
1940
Landecape
PositioW
Slope
orizon
Depth
00 S
OIL MORPHOLOGY OTHER.
.1941 PROFILE FAt,"1OR3
.1941
.1941 .1941 Soil .1443 .1916
inw"W conddeoq weteeeul soil Sepre
TOM" Minenb Cola IV. Clue
1944 PtotIb
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9 deee
Sit. LTrUt
.194
Law
s steno
1946k
Repek System OthR Facated
Site Cl
assifica1948Y 5
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Others Present<._.
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