IPAC RHTE# Harnett County Department of Public Health 2 f 0 4 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
s
ISSUED TO
PROPERTY LOCATION:
,a
:
NGt'3fl.CUQf~.
_
)
~ U%I-VO 6 SUBDIVISION CodPEcL ~P+7.r+~~ LOT #
NEWX REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Qt-) I'``mo
Type of Structure: S 1;r SJ
Proposed Wastewater System Type: Co,sv61 U ry
Projected Daily Flow: ~-7
GPD
Number of bedrooms: 3
Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No
May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: 5I- 110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o permiu. The permit hold r 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 T0: S~C-Ny2>r 'V~otrIE- ~Uat25 PROPERTY LOCATION:
SF~LS~rnS~` SUBDIVISION CmcspLsz, P.ns~5 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** CO ,wE_ r.r_'~ X0 " p,~ (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
C-10 cvy L~ . fv AI^ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size td o~ gallons Exact length of each trench Sd feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ►3-~t-j inches
Maximum Trench Depth of. ay 3lo 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 C inches below pipe
Aggregate Depth: a. inches above pipe
Conditions: \vAhTGx- Mvs~ ~C 1~ ~noc~r 5~~~~S~JsCErr
inches total
L M f"-) '~t_~c C7 c) 17,c* o "J N l P'L OCL P Pict ~n CA.
**If applicable: / understand the system type specired is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representatiature: Date:
This Construction Authorization is subject to revocatio 11111 11an, 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 to compliant th t sio Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru ' Authorization Expiration Date:
HTE# Permit # a`~4L1 ~t
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON: Mzws
ISSUED T0: SUBDIVISION ~oP~r^S LOT # a-~
Authorized State Agent:
ate: 5~ l ~
.y
z
G~
s-~ n S~, ►a
e
145'
P~V-- r Lr\,
Department of Environment
Health and Natural Resources
,
Division of Environmemtal Health
Shed:
On-Site Wastewater Section
Property
ID:
Lot
SOMSIITE EVALUATION
File N:
Cam:
For Old-SITE WASTZWATES SYSTEM
Owner. Applicant
Address Date Evaluated: sly
Pro
ed Facilit
5
pos
y:
gam, Desigp Flow (.1949): b
Property Size:
Location of Site: Proptlrh► Recorded:
water Snppij Public ❑ Individual ❑
Well ❑ Spring
❑ Other
Evaluation Method: Auger Boring ❑ Pit
Cut
Type of Wastewatw. Sewage ❑ Industrial Pmcem
Ml:ted
P
R
O
F
SOIL NORPHOLOOY
OTHER
1
L
.1940
L
WI
H
i
(941
PROFILE FAt: tOR3
E
M
u
Position/
910" %
or
zon
Depth
(In)
.1941
sbuchaw
.1941
Conwdow
.1941
soil
wetmf
.
1043
.1956
.1944
heft
t
5
TeMors
'Uhmio
Cotar
Soil
!M
Sepro
Cler
Reetr
Horint
clan
A LTAE
1
-
~
c~
S
~/f 2 ~s~*7P
` G s v\
714
9 et' °rr`f ° urner Factors (.1946k
Site ClassiHcadon (.1948k
Evalumted BY'
r ` Othas Present