IPACHTE# Harnett County Department of Public Health 2 6 0 3 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: GoivPCCy Gav2cy+
ISSUED TO: NA0 T4' SUBDIVISION L, rrEBEc]~.~ LOT # ~
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M p„' NCO r^C
Proposed Wastewater System Type: Cz" 4`pNp,4
Projected Daily Flow: 340 GPD
Number of bedrooms: 3 Number of Occupants: Qo max
Basement ❑Yes X No
Pump Required: ❑Yes "KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 1 ~ feet Permit valid for. ~ Five years
Permit conditions: A ❑ No expiration
Authorized State Agent:: _ Date: 9151 It SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees the issuance of ermits. The permit holder is res onsible 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 Pe,'
er ' hall 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 .1956, .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: Nc~.scL~) ~:~aU~ PROPERTY LOCATION: CKLY04ZI C*vo,L~
TT ~ SUBDIVISION LOT #
Facility Type: th A,4 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** C.oNJC-r~< Q.t... (Initial) Wastewater Flow: 3G C~ GPD
(See note below, if applicable
tv v E n rr A.1. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s o 00 gallons Exact length of each trench 10 CD feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C inches
Maximum Trench Depth of: N 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 inches below pipe
Aggregate Depth: a, inches above pipe
Conditions: \I ocf E-j~- G M J t r-, Q~ G ld S E5Y-N %C- SZ,S S ~i,~ . c )1011, inches total
V -c t t , s LS M fay Z_n Gct-fJ S" 0A O J 1N s T vv.t.. o S=oPy,2 ~c
**If applicable: / understand the system type specified is different from the type specired on the app/ication. /accept the rpecifcatioar of thi permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to n if t site 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 i to complia th o the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: V~ Qt^~S Date: _
Construc ' Authorization Expiration Date:
HTE# Permit # ~0`3y
narnett county Department of l-'ablic nea,lth
Site Sketch
ISSUED T0:
Authorized State Agent:
PROPERTY LOCATON: CALV Arzy CA, ~Z
SUBDIVISION -I--' LOT
S ~~~v~ ~oLxsoa~ Date: 5 sI 16
ate'
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health
On-Site Wastewater Section LoProperty ID:
t Lot 0:
SOMSITE EVALUATION File
f ON,S Code:
or I111, WAS'TEWA'I SR SYSTEM
Owner: Applicant:
Address: Date Evaluated.
Proposed Facility: 3 aa+aaoc ^ DcdP FIOW (.1949): 216 a ~~cf Property Size:
Location of Site: Property Recorded
Water suppliy Plk ❑ Individual ❑ Well Evaluation Method: ;RAuu',g erBoring ❑ Pit Cut C] Spring
Type of Wastewater Sewage ❑ Industrial Process Mud
P
R
O
F SOIL MORPHOLOGY
1 .1940
L Horizon 1941 .1941 PROFtLB FACT(
E Poaidao/ llep16 .1941 .1941 $oil 143
91o!„'K (ammcn nl Condkenp
Teen Mtiwsb
LIS 5HS4,2--
G Vpw "61n►P
`~K 11
sydam
webs soil
v0VZ7) --.q
-7Sy
Site Claui$cadon (.1948X P
cur Enhated B): TN
Others present
❑ Other
1956
.1944 Promo
RA* CIM
Hoda A LTA
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