IPACHTE# /0 - Zy 31 3 Harnett County Department of Public Health 2 5 9 8 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCAT
ISSUED TO: SUBDIVISION LOT # !J-C
NEW ~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Fb
Proposed Wastewater System Type:
, env G r2
Projected Daily Flow: ~f5 GPD
Number of bedrooms: - - Number of Occupants: max
Basement ❑Yes E7 ~No
Pump Required: ❑Yes ~ _M,,a~y ~b"e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community b I i c ❑ Well Distance from well feet Permit valid for 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: C- C Date: cry SEE ATTACHED SITE SKETCH shesb~ The issuance of this permit by t "Health Department in no ay 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: ~ 1 < L4PROPERTY LOCAT N: ~ cra l cam,, ,~~P.
SUBDIVISION ~+I-bt'S- LOT # 45-C
Facility Type: d 2 "'New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement fixtures? ❑ Yes El No
Type of Wastewater System** 02S~~ Zeiu o, (Initial) Wastewater Flow: GPD
(See note below, if applicable
-4=E& (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /60o gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2y- JC, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: / /d 04- L I.Ir ~sLZ c~ rya ~ ~ S/S-t<-.. i ~4 r s-
e Depth: inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type specified on the app/ication. l accept the rpecidcations o/ 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State
C
&1 Date: e2 ;Z;-'~
Construction Authorization Expiration Date: s' li~
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
c /J-
HTE# Permit # ozr~V
Harnett Connty Department of Public Health
Site ISOietell
PROPERTY IOCATON: Ic!-o
ISSUED T0:~c-~tC l~ err SUBDIVISION LOT #
Authorized State Agent: Date:~~
4
414
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A /-av, U-
Department of EwAmnnmk Health and Natural Reno ma Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot Property
SOIIJSIT>Z EVALUATION File H:
for ON-SITE WASTEWATZR SYSTEM Code:
Owner. Applicant:
Address Date Evaluated:
Proposed Facility: Design Flow (.1949Y Pmpeq Size:
Location of Site: Propeetp Recorded:
water sumo: rAuger is ❑ Individual Well C1 Spring ❑ Other
Evatuadon Metho: Boring Pg H ~
Type of Wastewater ewage ❑ Industrial Amu
mixed
R
O
F
I
L
E
.1940
Lxxbup
Hmiza
SOIL MORPHOLOGY
.1941
PR
OTHER
OFILE FACTO
R3
Potitiod
Slope %
a
DP*
(In.)
.1941
stue w
T"fun
.1941
Cowbtmq
Minweb
,1941
Soil
webmw
Cola
1443
soil
aV.
.1916
SWO
Clar
.1944
Re*
Hotta.
PtoftN
Cho
ALTA
G
site claui6cadon (.1948X
EE Enhated Byy r
Others Prexnt 19.1--