IPACHTE# CD -~-Ag 37 Harnett County Department of Public Health 9 7
Improvement Permit
A building permit cannot be issued with only an Jpr vement ermit
PROPERTY LOCATION: cc c (C
ISSUED TO: C,~sl~r SUBDIVISION " it c r0~- rat' LOT # % C
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6- ICo _~-b 4f ,c
Proposed Wastewater System Type: atS`~'~ t . ~yl~cfi
Projected Daily flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 210
Pump Required: ❑Yes ❑ No 6a be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 10 Public ❑ Well Distance from well feet Permit valid for: 5?fiive years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~ . t Date: 1,q-010 SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health Department in no 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, .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: Wt/A-t o.~tl"~•^c~~¢.`cv~ PROPERTY LOCA711e
SUBDIVISION VAlee _ 14- LOT # /a
Facility Type: cl Y ~o El New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2"-No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ~~.t e_O (Initial) Wastewater Flow: GPD
(See note below, if applicable
c~_fy,
-&_Jr __e (Repair)
Installation Re uirements/Conditions
Number of trenches
Septic Tank Sjze c J gallons
Exact length of each trench -7,r feet
Trench Spacing: 9 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: 12, inches
Maximum Trench Depth of. 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
Canditions:c5_4,~t
Aggregate Depth: inches above pipe
4'~,ker c+ 9Y r u•~
~s~ J f e
oc/a
t
A. CJT~ e ~j
G c cd r~
.
I
I c C~ ,r ec Sa c
,
IN
~ inches total
v5c.~ .tcl c
**If applicable: / onderrtand the system type speciFed is di!/event from the type specified on the app/ication. / accept the specifications at 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 is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: L 6F if Date 0/
Construction Authorization Expiration 4ht/~~--R c/J_
HTE# Zc'-r R yj-?7 Permit # c2 r ~76
narnett Comity Department of Public Heald,
Site ite Sketch
PROPERTY LOCATON:
ISSUED TO: ~Dv/j' LA-S-Xl~'-A-~:Q,,~ SUBDIVISION LOT # f G
Authorized State Agent: Date: -3~
/cry
02-73
C--- c h e„-- L-. et c
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File 1E:
SOIIJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address Date Evaluated:
Proposed fatality: Dedp Flow (.1949): Property Size:
Location of Siter Property water Supp~ P. Public ~oraea:
D Individual ❑ Well ❑ Spring ❑ other
Evaluation Method: PS4 ugerBoring ❑ Pit Cut
Type of Wastewter waga ❑ Industrial process mixed
P
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O
F
t
L
E
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1940
LardmNm
Posidoel
Slope's
kf~~'
orizon
Depth
00
G-
OIL MORPHOLOOY
.1941
.1941 .1941
Struch" Comirtem
TOXWM mineralogy
G /I V
THER
PROFILE FACTOR
.1941
soil .1943 .1956 l9M
Wdn" Soil Sepre Re*
Color DNA IN. Clan Hans
totria
Clew
• LTA>t
(~f
~~-yam l~ls~l
Tj
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,
-
DeraiPtiae
il,bi. s
S Kom
Sits 4TAR
a .t9a~
~ ROp~ SY Other Factors (.1946k
Site ClassiHcadon (.1948X
Evnluated Hy:
c - C~ .
Others Present: