IPACHTE# is Harnett County Department of Public Health 26031
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I stv6£, , Qao~a
ISSUED TO: Qo wf C. `>y` SUBDIVISION k y.J Gr,.s Qt prC~ LOT # NEW( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Fib (Lys 'xu3)
Proposed Wastewater System Type: Qot,3-4 ~or4 ki-
Projected Daily Flow: 34 C> GPD
Number of bedrooms: 13, Number of Occupants: max
Basement ❑Yes ~q No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well tOb feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~5 Date: 51 3I f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is esponsible 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 taws 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 T0: _Q C~-c2c-c~a~ ~xJG PROPERTY LOCATION:
,l SUBDIVISION LOT # 51
Facility Type: SF-D ( 4-; AL+ New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No ~^Basement Fixtures? ❑ Yes No
Type of Wastewater System** l_ -4.4 Lis Z) r4 P,f... (Initial) Wastewater Flow: '~40 GPD
(See note below, if applicable
C° N v E,-~ o cv a>< (Repair)
Installation Requirements/Conditions Number of trenches 1;1~1
Septic Tank Size ► o 06 gallons Exact length of each trench X15 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Trench Spacing: 9 Feet on Center
Soil Cover vi inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM
yregate Depth:
(onditions: WR'recL L "G- vs-t \C) ~rRrt~, ~~t IG.rsyS-~r-c , 0
Mor) G-iVG(~AG.tyC~ - I'( 1CNL_0Q_ se. N
inches below pipe
a inches above pipe
la. inches total
*If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
u wU 1- w IClulalt01 n me sae plan, pear, or me mtenaea use changes. lne Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subr411,(omp is a vi s of. ie Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 11~5 Date:
Constr tion Authorization Expiration Date:
NTE# 10 - S a' a ~s Permit # a~3
Harnett County Department of M-iblic Health
Site Sketch
PROPERTY LO(ATON: ~~cee+~ Ryon
ISSUED TO: 2 czw~C, N c. SUBDIVISION ~N~EN P~ e.cE LOT # 5k_
Authorized State Agent: ~~~E~TaLwsi)o~tr Date: 5~3'1D
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File N:
SOIIJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address Date Evaluated:
Proposed Fatality: Dertgo Plow (.1949): --4kc Propmq Size:
Location of Site: Property Recorded:
Watet suppij► Public ❑ Individual ❑ Well D Slag ❑ Other
Evah>ation Method: Auger Boring D Pit cut
Type of Wastewater, Sewage ❑ Industrial Process Mixed
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1940
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.1941 PROFIILB FACTORS
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.1943 .1956
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Rap* system Othar Factors (.1946)
s e Site CluAilcation (.1948) 5
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