IPACHTE# J6-,S--apt,377 Harnett County Department of Public Health 25991
Improvement Permit
A building permit cannot be issued with only an Improvements rmit
PROPERTY LOCATION: cw--
ISSUED T0: SUBDIVISION LOT # A.
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: b
Proposed Wastewater System Type: lr~!Lt
Projected Daily Flow J L 6 GPD
Number of bedrooms: 3 Number of Occupants: ~ max
Basement ❑Yes ~T No
Pump Required: ❑Yes 2'1o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ublic ❑ Well Distance from well feet Permit valid for. ?T Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: _ /-tee , - y Date: C c' SEE ATTACHED SITE SKETCH
T
The issuance of this permit by the ealth Department in no way 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 taws 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, .19% and .1959 are incorporated by references into this permit and shall be met. Systems shall be instalkd in accordance
with the attached system layout. Q
' ~'-a
ISSUED T0: PROPERTY LOCATI : /11
SUBDIVISION a:.~ LOT # iC
Facility Type: S-)C7 D Er-New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1~ No
Type of Wastewater System** 2 r7- &
Y (Initial) Wastewater Flow: ~ G GPD
(See note below, if applicable
R-S''7, (Repair)
Installation Requirements/Conditions Number of trenches 62
Septic Tank Size /'°a y gallons Exact length of each trench -75- feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 18 inches
Maximum Trench Depth of: 7o 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
Cold/i~tions: o u , ~-e f'z f- A,,-, ~ ~,r ✓ r ar~~ r inches total
~c,+.d
**If applicable: /understand the system type fpeci>ied is different from the type specified on the application. / accept the spec1f2mionr of this permit.
Owner/legal Representative Signature: Date:
^ • ~J«• - - -1. L„~ F u1, pay m wn uneoutu me uianges. ine cansrrucuon Aumonzaaon snau not he transterreo when there is a change in ownership of the site. This
tonstruchon Authorization is subject to comP111 ance 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 Age - ✓ All- Date: 2G~ v
Construction Authorization Expiration Date: 2 cl d'
HTE# 9Y 3 73 Permit #
Harnett (bounty Department of Public Health
Site Sketch
c--~/ PROPERTY LOCATON: ~ro ~~vrer
ISSUED TO: SUBDIVISION
LOT#
Authorized State Agent: Date: t~ X- /I--.
/a2~
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
On-Site Wastewater Section
propel
Property
Lot
SOWS1TE EVALUATION
File
Code
for ON-SITE WASTEWATER SYSTEM
.
Owner. Applicant: l
Addmw Date Evaluated:
Propmed Fatslity: Design Flow (.1949):
Property Size:
Locution o[ Site: p -p"y Recorded:
Watts guppy; ❑ Wividual ❑ Well
M
❑ Slag ❑ Other
Evahradon Method: ❑ Pit cut
umwBoring
Type of Wastawater Q--5
-
❑ i
e
p
ndustrial ft= mixe
d
P
R
O
P
SOIL MORPHOLOGY
~171EIt
t .1940
L L W
H
i
.941
PROFtI$ PACTORS
ompe
E Posidoal
M Slope 7tt
or
zon
Depth
(110
.1941
St
f
.1941
,1941
Son
.1043 .1916
ruoture
Text"
Co Wdeea
Minenb
Webmw
Cola
%(1 Sspre
QV. Clan
E
j
L
ll
771
Pdae lnitiet Repdr System Other Factors (.1 WX
S a
Site C1auiHcation (.1948k
ble s a .1941
i , Evaluated By: f' ~.ti
c c Others Present:
.19" Pmfue
Re* Clem
Haas A LTAX
C