IPACHTE# --~3~►°~ Harnett County Department of Public Health 2 6 1 0 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NCa-lV
ISSUED T0: Cu M~~z t-Ano NO mF S SUBDIVISION M , air ~r;zA LOT # L_
NEW,X REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVO
Proposed Wastewater System Type: Co H v c o nt Al.
Projected Daily Flow: 3 C-, O GPD
Number of bedrooms: 3Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ~lo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well k0 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: y1~~. ~~~~15 Date: 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o r permits. The permit holder is res nsible 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:
C-umrbt~a2o.No \Aoc N
PROPERTY LOCATION:
t~C-X I`n/
Facility Type:
(s a "~~,A
JVO (:9C NPw
SUBDIVISION M,,o-~ ~~LOT # _
f-1 rvnincinn r-I o
Basement? ❑ Yes -'K No Basement Fixtures? ❑ Yes '50o
Type of Wastewater System' Co N-4 S.., b N N L_ (Initial) Wastewater Flow:
(See note below, if applicable
(Repair)
Installation Requirements/Condition
Septic Tank Size 't~(n c>
Pump Tank Size
S Number of trenches S
gallons Exact length of each trench Cie feet
gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
3c d GPD
Trench Spacing: Feet on Center
Soil Cover: 1 a-l~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM C inches below pipe
Aggregate Depth: a inches above pipe
Conditions: inches total
MPs 1 E 2OPtiU-j a ~H ~T\$"L- pcL ~I?+~~CL c2CP~
If applicable: /understand the system type tpecided it different from the type specified on the app/icatian. /accept the 5peci66t1onr of thi peimif
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca he site plan, lat, 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 compliance wi the t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
S Date: 5
Constructih4uthorization Expiration Date:
HTE# 1 0 - 5-~-►3°t9 Permit # a6 to-5
narnett Count` Department of Public He(, lth
Site Sketch.
PROPERTY LOCATON: N C;ao Ili
ISSUED TO: vw. A~s> \Ac, ES SUBDIVISION LOT #
Authorized State Agent: ¢ SS~LwETLTOL~ss~drt~ Date: 5! 1 1 0
O¢A1~f~GLD
E~Gr~E,ai
r _
I O
Department of Environment, Health and Natural Resources Sheet:
Division of ErMronmeutai Health Property ID:
On-Site Wastewater Section Lot it:
SO1USM 1£YALUATION File 11:
Por O Code:
N-811E WASTEWATER SYSTEM
Owner Applicant:
Address Date Evaluated: g~
Proposed Facilitf: 3 z c,,, Design Flow (.1949}; -Ac" > Property Size:
Locatiotz of Site Pro" Recorded:
Water 3upp[j Public ❑ Individual ❑ Well ❑ Siring
Evahisdott Method: Auger Boring ❑ Pit Cut
Type of Wwwwater: Sewage ❑ Industrial Process Mimi
R
O
F
SOIL I "HOL00Y
OTH
t .1940
L L
mxlm
H
i
.1941
ER
FAC
.
p
9 Posidow
or
zon
Dq*
.1941
.1941
.1941
soil
1443
N Ste" %
(Ice)
Shvchtrr
Coasietenq
Wetneal
.
Soil
Ted
Imburwo
Color
LN.
[
~ ~AV
~ ~ S L
J7 55~
a .1
("ar Factors ( 1946)C
Site CIMMUdad (.19482 P 5
~yEvaluated By: 6.t
Othm Pram t -
❑ Other
1956 .1944 rmm
der Harts A LTA
P5 .
~el