IPACHTE# /O-j-- -~Y.31 z Harnett County Department of Public Health 2 3 9 8 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit _
p { PROPERTY LOCATI N: S-~ it 41 If x J.
ISSUED T0: J~~ 0}~• lc~~.^J SUBDIVISION c~~ {ce~r ~;;1 1T LOT # lTs
NEW A/ REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~--16 XfMG
Proposed Wastewater System Type: 9S' a gtrdu :,A.
Projected Daily Flow: ~(~C1 GPD
Number of bedrooms: 3 Number of Occupants: L- max
Basement ❑Yes ~A
Pump Required: ❑Yes Q'No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: E Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 0._.1~{ Date: 2Q a SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in na uarantees 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 T0: y Gnc . car t PROPERTY LOCATION:.
SUBDIVISION LOT # Iri-
Facility Type: C7 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' a'5-L /ed~c :ems ~ir ~ (Initial) Wastewater Flow: CO GPD
(See note below, if applicable
SVJ-~ (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size ZQQO gallons Exact length of each trench 2,5- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a;`/- 3C3 inches
(Trench bottoms shall be level to +/-1/4°
in all directions)
Pump Requirements: ft. TDH vs. GPM
J 41
l pct .w. w e l~~r7 - /a
c"r f- , *t-- f
inches below pipe
inches above pipe
inches total
~p L S-/J- a ,
**If applicable: / aaderrtmnd the rystem type spec/Ted is different from the type specified an the app/ication. /accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authnriratinn is vihiort to -nriti- it the ao i,,, i,.
-Y .11 111u„511. nuumncauun vian not oe transterrea when there is a change in ownership of the site. This
constructon 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 Agent: Date: 02 .Z4;"/ Cr
Construction Authorization Expiration Date: 7 2C l
Trench Spacing: ? Feet on Center
Soil Cover: /o7-°l8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
HTE# ZQ-,~`R(1,3 , Permit #
Harnett County Depailment of Public Health
Site ketch
PROPERTY LOCATON: Ct 1 c~u.s -
ISSUED T0: L~4-,z,. r . ~/(v. ~~eOf SUBDIVISION e o : f LOT # /rr
Authorized State Agent: cs~ Date:
c~
-110,
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Department of Environment, Health and Natural Resotutes Sheet:
Division of Environmental Health ape
On-Site Wastewater Section Lot
SOIIJSITE EVALUATION File +Y:
For ON-SITE WASTEWA jX SYST1P.M Code:
Owner. Applicant:
Addrear Date Evaluated:
Proposed Facility: Desiga Flow (.1949): Property Size:
Location ei Site: Property Recorded:
Water Juppty Q ~ lic ❑ Individual C] Wen C] spring ❑ other
Evaluation Method: [ uger Boring Pit cut
Type oP Wastewater: PS4wage C1 Industrial Process 8 1411xed
P
R
O
P
SOIL MORPHOLOGY
1
.1940
.1941
L
~P'e
Horizoe
E
Poeitiod
Depth
.1941
.1941
a
Sbp~ K
00
Shuahrd
Corwtom
TexMm
Mlonfo
~ Y~
X46
OTHER
_ PROF114 FACTORS
.1941
soil .1043 .1976
web,"d son Sqm
Color nY, Clan
leer n°w` se`a's Qhar Factors (.l 946k
Site Cleasiflcation (.1948k
° t
Evaluated By
Otha s Prem*
.1944 ~ FtvNt♦
Reatr Clue
r
S: 81