IPACHTE#_Za-J-ay,5fg Harnett County Department of Public Health 25989
Improvement Permit
A building permit cannot be issued with only an Improvement rmit
~I PROPERTY LOCATI N: ~1 % c, mw e~
ISSUED TO• ~ ,,c, i Uv- eiy~ SUBDIVISION at{-~.:J o F LOT #
NEW REPAIR ❑ , s EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5-!Pb
~O cs
Proposed Wastewater System T}pe: 0 1~ rdu 'Cia la-74
Projected Daily Flow: b _ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Flo
Pump Required: ❑Yes RT'No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0~uublic ❑ Well Distance from well feet Permit valid for a ive years
Permit conditions: ❑ No expiration
Authorized State Agent: li /"l- ~ cr- SEE ATTACHED SITE SKETCH
Date: .Z '.Zcs 10 nn7 4g -
The issuance of this permit by the Health Department in no guarantees the issuance of other permits. The permit holde 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: PROPERTY LOCAT N: C-'t
SUBDIVISION -t oE' LOT # <S`2
Facility Type: ~w ❑ Expansion ❑ Repair
Basement? ❑ Yes r~'-No Basement Fixtures? ❑ Yes ❑ o
Type of Wastewater System * (Initial) Wastewater Flow: GPD
(See note below, if applicable
°2`~ r f~.. (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size wo gallons Exact length of each trench -2 S` feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: --3c2s inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: c-U Fl, - Q'td' AQ 011 ' 1, CJ1ti~~~
inches below pipe
Depth: inches above pipe
y ) inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred
Date:
there is a change in ownership of the site.
~muuuumu xuownranon is subject to compliance with the provisions of t Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent- ` I Date: 6 9- 9-
Construction Authorization Expiration Date: G
Trench Spacing: Feet on Center
Soil Cover / Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
HTE# /o y Permit # 07- 15- !
Harnett County Department of Public Health
Site s1ketell
PROPERTY LOCATON: rv- fC~P.
ISSUED T0: ✓ ~e i.G ~4 / SUBDIVISION LOT #
Authorized State Agent:
t Date: C2 /oZ 2c~e
I
Department of Enviromn * Health and Natural Resources Shed:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot e
SOILJSM EVALUATION File :
for ON-SITZ WASTRWATE$ SYSTEM Code:
Owner. Applicant:
Address Date Evatuabod: 5'- 12-111, ~ 6
Proposed Fwwtr. Design Flow (.1949): Ptopertp Size:
Location o[ SibK Property Recorded:
Water Sup* He ❑ Individual ❑ Wen ❑ Spring ❑ Other
Evah>adatt Method: rAger Boring pn cut
Type of Wastewater: e wage ❑ Industrial Process 8 Mixed
P
R
O
F
SOIL MORPHOLOGY
I
19A0
.1941
~
ape
Horizos
9
Poeitiow
Depth
.1941 .1941
i+
slope %
00
StrU~I Cofwdam
Texh" Mfimlo
~j,
/
p
OTHER
PROM FAC
Soa
wsY Otha Factors (.194bk
site CiMbficadon (.1948k _r
Evaluated By: p 7---
Othets Present:
1956
,19 4 ft ft
Re* C1w
Hods. iLTAe
Is