IPACHTE# IHarnett County Department of Public Health 26101
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1)PrLo
ISSUED T0: SUBDIVISION 77Z t F-S 4PPc~ LOT #
NEW REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: rD'PQ
Proposed Wastewater System Type: Co, t~E,~t~rrpCt
Projected Daily Flow: 3 C. O 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: o;P~, Public ❑ Well Distance from well 10 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
~ ~-cam
Authorized State Agent:: Date: v SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holler 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, .1
952, .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: M C tam 2 -
C> ct ~s ,4 o I-D PROPERTY LOCATION: ~~2n oc.<a
SUBDIVISION -ZY f,,-,S "PP1`Zr v(L LOT # r~,
Facility Type:
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~X
No
\
Type of Wastewater System' Co Nv 6~ :l0 rt tp., lr-. (Initial) Wastewater Flow: GPD
(See note below, if applicable
c>..L, (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size i o o O gallons
Exact length of each trench 3 d feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil Cover inches
Maximum Trench Depth of: 2 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
Conditions: W P'Tsr.- M rte,
sa" Aggregate Depth: inches above pipe
Q-- V: yszC-
r\
o
V) lilij EH c aop,C Q) tZ P.
.
-.t
inches total
a a- C? Q- *\1-1Q-&A-\
**If applicable: /understand the system type rpec16ed is different from the type specified on the app/icwt n. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subied-to_.rrvoration if thr ?htinlan ,ht nr rho intandnd h- - Thar e...h,,,;,,,;,,,, ,t „u k...__.t-.._....- L _ _L___.:_ -
Construction Authorization is subj^c o complianc?~cThh ons he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ¢ ~ Date: 5 ~ 10
Cons ~ n Authorization Expiration Date: If ~J 25
HTE# 10-5 Permit # 9,1~
Harnett County Department of l' iblic Health
Site Sketch
PROPERTY LOCATON: Dv-,4ZoQ.)& ~
ISSUED T0: M ~cxl A"~ 2~ ro1-0 SUBDIVISION 'EPaa W z- LOT # `a-
Authorized State Agent: Q 16 oLl -S 15L
~~o Date: 5) 36
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Department of Emimnment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOII.JSYM EVALUATION
ror ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File M:
Cade:
Owner: Applicant:
Addmm Data Evacuated:
Proposed Fatality: 3~ m 5 Design Flow (.1949): 36 0 n~
Locatioa of Site: Property Recorded:
Property Size:
Water supply lie ❑ Individual ❑ Well D Slag
Evaluation Method: rAuga Boring ❑ Pit Cot
Type of Wastewater. wage ❑ Wustrial Process H Mixed
❑ Other
P
R
O
P
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PRO FACfOR3
L
Lan mm"
Horizon
.1942
B
to
PosidoW
slope %
DqA
(1a
)
.1941
S6
w
.1941
Son .1945 .1956
.1944
Fr ft
.
vow
Twit"
Conddem
Min"10
Wehm w Soil Sspro
Colt 11Y. Clsur
Re*
Hai
Clan
• LTA*
t_g
a
c wc~~
• `1
3D
Qn
17
l0 3p
~L
Rt ss~
~'S
Q
not YY Othar Factors (.1946k -
9iteClassiHcatton(.l948k E?~
b N Cft j Others Prexnt:
~x W d e