IPACHTE# 10,5 a~l~~ Harnett County Department of Public Health 2 6 0 3 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: .aoE `moo ff two r,
ISSUED TO: ~Fi S ~iL. LL~-s~ SUBDIVISION j3 E~ LOT #
NEWX REPAIR ❑ EXPANSIO Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MN4 YAo ('--q x(' y'
Proposed Wastewater System Type: Co^^z Errs toN;-.t✓
Projected Daily Flow: 3ioC) GPD
Number of bedrooms: __3_ Number of Occupants: 5:~' max
Basement ❑Yes ~No
Pump Required: ❑Yes e'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~ O 0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: v Date: -5 3 to SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depa ment 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, .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: ~ExY~~ ~ur
PROPERTY LOCATION:
~ataN~oa Zt
SUBDIVISION $P\NLEy
LOT # -3
Facility Type: Mft-T.Uonr--
New ❑ Expansion ❑ Repair
Basement? ❑ Yes ' X No Basement Fixtures? ❑ Yes -'~Z No
Type of Wastewater System** CC, Nit C r N s
b N P~~-
(Initial) Wastewater Flow: 34,0 GPD
(See note below, if applicable
C-0 ^,vEt- ~'0 -o" I-- (Repair)
Installation Requirements/Conditions
Number of trenches `t'
Septic Tank Size t o c C~' gallons
Exact length of each trench ~O
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over: inches
Maximum Trench Depth of: -).LA
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
Conditions:
a
Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the rpecircationr 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 tramforrnd whan thora it o 11,11 e i ~~e r .k..:.. Tk:.
Construction Authorization is subject to compliant e p visions e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
sa
, N--( NV.,r_ oa- V-ER,a a-
Authorized State Agent: 2~~~ Date: 5316
Construe ' Authorization Expiration Date:
HTE# ~ Q- 5 - aL1 19 -1 Permit # D:4:030
Harnett County Depailinent of :M blic Health.
Site sketch
PROPERTY LOCATON: Jo 75o10 6 yZ
ISSUED T0: Tom- SUBDIVISION gP~\2 E~1 LOT # 3
Authorized State Agent: Q.Z~NS oL\-4 OLv'•5tX~2S Date: 51311 a
To
~o~t, ~abw~oN 2p
Department of Environment
Health and Natural Resources
.
Division of Environmental Health
Sheet;:
property ID:
On-Site Wastewater Section
Lot
SOIIJSPTE EVALUATION
File
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Addtesa: Date Evaluated:
Proposed Facility: 3 gwaw r+ Design Flow (.1949):3~ 1 c~5,-Q
Property Size:
Location of Site: Property Recorded:
Water &qo r, nc ❑ Individual ❑ Well
At
D Spring ❑ other
Evaluation Method:
'ger Boring ❑ Pit cut
Type of Wastewater: [-Sew
❑ I
age
ndustrial Process Mix
ed
P
R
O
F
SOIL MORPHOL.OOY
OTHER
1
L
.1940 .1941
L.aubegm Horizon
PROFILE FACTORS
E
lr
.1941
Pod ioel Depr6 .1941 .1941 soil
Slops % (1n.) SI
W
D
.1943 .1936 .1944
hot%
MC
A
Conidam webmw
Tefnn Mimnio Color
soil Swe Re*
Clsn Haris
Cho
ALTAR
1
C)-l~j C 'i.. vs~ No
~hC
3
000 lei W Rq* System Factors 1946X
Z
S m Site Ctassit3cation (.1948X
Q
&ble
S p .194!
i c0,, EvalwtedBy o\
`
Site LTAR
- Others Preset