IPACHTE#1o-S=aV~_- Harnett County Department of Public Health 2 5 9 9 3
Improvement Permit
A building permit cannot be issued with only an yImprovement Permit p
ISSUED T0: / PROPERTY LOCATI : /'1~`v ti r aycr v4f,
SUBDIVISION c~ f e L1 LOT # ~r
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: yc) 66
Proposed Wastewater System Type: S- e-4-
Projected Daily Flow: .3 C GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 010
Pump Required: ❑Yes 210
Type of Water Supply: ❑ Community
Permit conditions:
❑ MMayabb required based on final location and elevations of facilities
LET Public ❑ Well Distance from well feet
Permit valid for T-Tive years
❑ No expiration
Authorized State Agent.: l ~ Date: ~ 2 :;-Iclc SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 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, AM, .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 y
ISSUED TO: ei,
PROPERTY LOCATI N:
SUBDIVISION a.-,4s97 LOT #
Facility Type: F57 New ❑ Expansion ❑ Repair
Basement? ❑ Yes C!TNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a4 ZI-J -1.c"~ (Initial) Wastewater Flow: 7 Co a GPD
(See note below, if applicable
.?rl. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size gallons Exact length of each trench J-0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3U inches
Pump Requirements: ft. TDH vs.
C tlpns: c ~ P, :
fl c.,.~,k r A
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
r N1,
Trench Spacing: Feet on Center
Soil Cover 67 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specibed on the application. / accept the specifications of 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 haws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agen~ c; ew
~ Date: 6 6Z
Construction Authorization Expiration Date: orr'
HTE# .~O -cS- 02V~37~ Permit # Z5-~~-.3
Harnett County Department of l'i-tblic Health
Site Sketch
PROPERTY LOCATON:~
ISSUED T0: S4 nc'. SUBDIVISION a ,o f" LOT # ZC
Authorized State Agent /Z-4 Date: 0
ja-U
l
G r7~ I
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Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health
On-Site Wastewater Section Lot Property
SOIIJSITE EVALUATION File fit:
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant; /
Address Date Evaluated: s (7- (2°
Proposed Facility: DeAp Flow (.1949): Property Size:
Location of Site: Prooody Recorded:
water suppi rPubiic p bdividuat p Wen D Spring C7 other
Evaluation M~a: VS4 uger Boring Pn ~
Type of wastewater: wa ge 11 lndwuw Process H Mixed
P
R
O
P
OLAOY
O
1
L
.1940
L Lind a
H
i
.1941
THER
FAC
p
POSMOW
m
z=
Dq*
4
.1.1941
.1941
Soil
1143
Slope %
(1a)
ShvCoaddo"
webww
Soil
TOMlwnlo
Color
IN.
Rep* sylum Other Factors (,1946k
Site ClaSOCadou 1940-/'
Evahated Others Premt Q,,..,
.1956
Swe
4
.1944 Ptottll
Red r Cho
Hair & LTAA
1~, 8
.6