IPACHTE# /o ~g 3~ Harnett County Department of Public Health 2 5 9 7 5
Im rovement Permit
A building permit cannot be issued with only an I pr vement Permit
ISSUED
~
PROPERTY LOCATIO c IC
~
~
TO:
,J r
r~c-
o Lyf
.Q f~ SUBDIVISION
t
'
NEW
REPAIR ❑
r
~cr nom
LOT #
. EXPANSION [I Site Improvements required prior to Construction Authorization I
Type of Structure:
rF
d ~0
ssuance:
P
'
I
roposed Wastewater System Type:
v .S
/r{cti
Projected Daily Flow:
c7 4
GPD
N
3
umber of bedrooms:
Number of Occupants: max
Basement ❑Yes
P
R
i
Colo
ump
equ
red: L es
❑ No
❑
MaybDb -required based on final location and elevations of facilities
Type of Water Supply:
P
~
❑ Community IJ~ Public ❑ Well Distance from well feet Permit valid for:
Ef-five years
ermit conditions:
❑ No expiration
Authorized State Agent:: /~'L~ - r~ Zp C d
Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the ealth 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, .195S, .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: \//)A ca IA5-4Q J, PROPERTY LOCATI 4-C ~
SUBDIVISION %~7~Lc~ LOT #
Facility Type: f~New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**~ (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
E_' (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 004 gallons Exact length of each trench (O feet Trench Spacing: Feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour at a Soil (over: G- /2 inches
Maximum Trench Depth of. f o2-/c' inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: "A dry _ti l..tu ~r sus ,S-!-, t I;~~(„ Z,I- oA- f, /L8 - ~ inches total
•N< 4//
Wc~T C t~ncf ~c ~t '
**If applicable: /under understand the system type speciled is diBerent /rom the type speciled on the app/ication. /accept the rpeciflcatioas 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 transferred when there it Construction Authorization is subject to
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
in ownership of the site. This
SEE ATTACHED SITE SKETCH
Authorized State Agen
Date: Z at r)
Construction Authorization Expiration Date:
HTE# 1Q - J--Zl1338 Permit # a 5-'17j-
Harnett County Departlllent of F"ablic Health
Site Sketch
PROPERTY LOCATON: tX c. Lei
ISSUED T0:~/~ SUBDIVISION v n ef.- F~ r,~.I LOT #
Authorized State Agent Date: f 2cl u
/0:.
Irk C-4
14 /S
{ l
v I
11
IC t
z.3-s-
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot 0:
SOILISITE EVALUATION File e:
for ON-SITE WASTEWATER SYSTEM Coda:
Owner. Applicant: /
Address: Date Evaluated: s ~i3 l Z~1
Proposed Facility: Dedp Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supptg ❑ fuft ❑ Individual ❑ Well ❑ slag ❑ Other
Evaluation Method: Q- ger Boring ❑ Pit Cut
Type of Wastewater: Sewage ❑ Industrial Process Mixer!
P
R
O
F SOIL MORPHOLOGY arm
1 .1940 .1941 PROFILE FACTORS
L La Wsupe Horizon 1941
9 Position/ Depth .1941 .1941 soil 1141 .1956 .1944 Praft
4 310" A (In.) sbucftw Comiateaee Walled soil sapre Rm& Clan
Texture Munk Color
QV. Clan Horis A LTAR
De"xiPdon laitia) Repair system Other Factors (.1946)
Available 9 s site Cfassi&tdou (.1948) /S
ea .194!
s ,tern a Evslmled By: X
Site LTAR Others Prext CT 7X