IPACHTE# ►p-5 -QL-13-7-1 Harnett County Department of Public Health 26102
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~raszc~ ac.>a 'nt>
ISSUED FO: CSUBDIVISION LOT # 1
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 D -10 o1
Proposed Wastewater System Type: Cc,
,v v , r n r r,, t
Projected Daily Flow: 3~o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ CommunityIX Public ❑ Well Distance from well L d O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: nn R ~ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department iway guarantees the nce of other permiThe permit holder is respo sible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or thended use changes. The Im ovement 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, .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: PROPERTY LOCATION: ~t~~ nova
( SUBDIVISION Ssa cti ~P~ ctP2 LOT # _L_
Facility Type: SF U `i'`~ C7 0~ XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Co0"p,L (Initial) Wastewater Flow: C _ GIRD
(See note below, if applicable
Co r vF1r a r~j Kt_-, (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t Cn0 0 gallons Exact length of each trench l 00 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of: `Q 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: inches above pipe
Conditions: ~AT~, Lim ~us~ ~s; Va.o„_, SEVo LS ~s sCt,,.\ inches total
ors 1~ v a, ~ 2, ~ PAkt~Q.c~..G'~
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representatl Cure: Date:
This Construction Authorization is subject to revocat a site Iat 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 sub ect o compliance th i t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~5 Date: S >o
Construc ' Authorization Expiration Date: 5 t -
HTE# 1 b -S- a'~3-1 Permit # a~1p-a,
Harnett County Department of I_'ablic Health
Site Sketch
PROPERTY LOCATON: >,%1c c--A
ISSUED TO: S~ P~w4 %CrVKOg SUBDIVISION 5~,t",c-S L LOT #
Authorized State Agent: BENS O L)v E1L Tol-y-vo Date: C)
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Depachnent of Envimnamt, Health and Nature! Resources
Division of Environmental Health
On-Site Wastewater Section
SORJSTTS EVALUATION
for ON-SITS WASTSWATES SYSTEM:
Owner. Applicant:
Address: Date Evahmted
Proposed Facility: 3 4 Er,,tcu r Design Flow (.1949r 3 d d
Location of Site: Property Recorded
Sheet:
Property ID:
Lot
File M:
Code:
Property Size:
water supply; ;Kj Public ❑ Individual ❑ Well ❑ stag
Evah>don Method: ❑ Auger Boring ` Pit g Cut
Type of Wastewater: ❑ Semn TI Irwin Process (1 Mixes.
❑ Other
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