IPACHTE# /,0 Harnett County Department of Public Health 2 5 7 4 6
Improvement Permit
A b~ildl ffmit cannot be issued with only an Improvement Permit
G PROPERTY LOCATION Zoo
ISSUED TO % c_r~~-~~'wrP.s'SUBDIVISION wlo~t,~,c4,J Sja /-~.z{z~ LOT #
NEW REPAIR ❑ EXPA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L, r11 /-j
Proposed Wastewater System Type: 2 5 °!o
Projected Daily Flow: 3bU GPD
Number of bedrooms: -3 Number of Occupants: max
Basement ❑Yes ~L No Pump Required: ❑Yes ❑ No E MOe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lYJ Public ❑ Well Distance from well feet Permit valid for. Ii" Five years
Permit conditions: ❑ No expiration
Authorized State Age /d~~~ Date: '--7a SEE ATTACHED SITE SKETCH
The issuance of this permit b e Health Department in no way guarantees the issuance 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 aft a?) system yout _ _ U~~
ISSUED TO: 5-16
PROPERTY LOCATION: z
oo y
SUBDIVISION G}-~irJ j OT #
Facility Type:
li~ New xpansion El Repair
Basement? ❑ Yes No Basement F
ixtures? ❑ Yes No
Type of Wastewater System- .Salo .5-f 8~_
(Initial) Wastewater Flow: GPD
(See note below, if applicable
L~
CIL~l /Repair)
Installation Requirements/Conditions
Number of trench
Septic Tank Size 1064 gallons
Exact length of each trench 66 feet
Trench Spacing:
Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
_
Soil Cover: w inches
Maximum Trench Depth of. /1,, 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
/j7
`l inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: L
/1't /-r T- 2 j ssa ,G' 21-{~ ~
-6 inches total
Yt C ^~Li A /
**If applicable: / understand the rystem type speciled is different from the type speciled on the app&dtio#. / accept the specilcations of this permit
Owner/Legal Representative Signature: Date:
W--." > -J- W a w a e as pun, piat, of me unenaeu use cnanges. me ronstruchon Autnonzanon shall not be transferred when there is a change in ownership of the site. This
lonstruction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent Date: -36 -Jb
Construction Authorization Expiration Date: d - ?d -15
NTE# Z yl98 Permit # -.,5 -7 yC.
Harnett County Department of Public Health
Site Sketch
/rzr9~ fez ^f cZPROPERTY LOCATON:.$,C_Lc'`f
ISSUED TO:'/oG44"~ /~r r ~i.JA.tC SUBDIVISION LOT #
Authorized State A Date: y 30-/O
4107zw Lrz0,1--5 ws q a"/-
4400~ t ew c.-cs
1 y
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Sr
77'
l
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIUSTTE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner Applicant:
Addresic Date Evaluated: la _,a
Proposed Facility:' Design Flow (.1949): 26-a Property Size:
Locadon of Site: Property Recorded:
Want Suppy [rlic ❑ Individual (~-Yell ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit cut
Type of Wastewater: go ❑ Industrial Process Mud
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1940
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.1941
.1941 .1941
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THER
PROFR.B PACTORS
.1941
soil 1943 .1936 .1944
watt" soil s.pro ReAr
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Site Classification (.1948k PS
Enhated By: J I-
Othaa Present: C> j -ta-,-i"Z,