IPACHTE# ~~-s Harnett County Department of Public Health 25997
Improvement Permit
A building permit cannot be issued with only an Im rovement-rp.~.Mjt
p PROPERTY LOCATIO : 'k-~ (o CJ.
ISSUED T0: e, f SUBDIVISION r f 66 f- c : -f LOT # 172,
NEW REPAIR ❑ t EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:.) F 4O 00
Proposed Wastewater System Ty e: Projected Daily Flow: ~7(- y GPD
Number of bedrooms: -3 Number of Occupants: max
Basement ❑Yes El 'No
Pump Required: ❑Yes ,No ❑ May quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. FTrive years
Permit conditions: ❑ No expiration
Authorized State Agent: C Date: c' SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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, .19
54, .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:
PROPERTY LOCH ION: : cPa cwcr~.
' SUBDIVISION 7<A~c+t- t1°
ff- LOT # / 7Z
Facility Type:
E New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? 4 Yes ❑ o
Type of Wastewater System**
~1 1 k X/ J-~'r
(Initial) Wastewater Flow: GPD
(See note below, if applicable
yj~ cI (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size gallons
Exact length of each trench S~o feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: 113 inches
Maximum Trench Depth of- -70 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
Copd vl~cw",A
Aggregate Depth: inches above pipe
rc c-: cued
inches total
~ ~
S f~~r~ 1~ f• qu
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specif1w1onr of this permit.
Owner/Legal Representative Signature: Date:
I - -i, F-., V-, ll, 'lit uneuueu WC ulabges. ine constructon numonzanon snail not be transterred when there is a change in ownership of the site. This
WIMIUlnbn numonzanon 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 Agen Date: 6 :-7 IRC/C,
Construction Authorization Expiration Date: 5 2 0<J-
HTE # f d a`1~3f 7 Permit # 02 r l 1 *7
Harnett County Department of Public Health
Site Sketch
12
PROPERTY LOCATON:
ISSUED T0: c-. S' I (4SUBDIVISION LOT # f ~Z
Authorized State Agen - e Date: ~-p o f G
tc~a
iGr
41
I'D i
t~
x6 c- C4.
Department of EwAmnmmk Health and Natural Resources Sheet:
Division of Environmental Health mix
On-Site Wastewater Section Lot Property
SOIIJSPPE EVALUATION File:
for ON,S1Tz WASTEWATER SYSTEM Code:
Owner. Applicant:
Address Date Evaluated:l' 1,1v ~a
Proposed Facility: Design Fibs (.1949): Property Size:
Location of Site: Propert)r Recorded:
Watet $upplljr ~ ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ~ger Boring ❑ Pit cut
Type of Wastewater: Sewage ❑ Industrial Process Mixed
P
A
O
F
SOIL MORPHOLOGY
OTHER
1
L
.1940
L
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.1941
PROFILE FAC tOR3
a
ma r
Horizos
1941
9
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Posdtiod
slope A
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.1941 .1941
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l943
.1916
.1944 PMb
uctura
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Tura Mien
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Color
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IN. Clue
Hans A LTM
I
umer Factors (.1946)
Site Clgsd&adon (.1948) fAJ,
Evahated Br c -
Others Prexnt.0 -