IPACHTE# -aqJ `l
Harnett County Department of Public Health 2 5 9 8 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI 5
D TO:~a..~c~. ~c r Ce1-1 /f
ISSUE SUBDIVISION
LOT # l~
NEW [ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J-F D Y< C1
Proposed Wastewater System Type: /&J( 'J :
Projected Daily Flow: ~'G, _GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ~o
Pump Required: ❑Yes i; No ❑ MMay b squired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: R-~e years
Permit conditions: ❑ No expiration
Authorized State Agent: ~e Date: ~~f Q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Hea Department in now 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, .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 LOCATON:~~ r ✓ ~~c.~ e~ ,F'~Y_
SUBDIVISION LOT # 15-1
Facility Type: _ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**S-r~ f2,j c=. (Initial) Wastewater Flow: GPD
(See note below, if applicable
of 7c
Z f-740--(Repair)
Installation Requirements/Conditions
Number of trenches 0
Septic Tank Size CCTV gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ~30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing: Feet on Center
Soil Cover: Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(p~ Aggregate Depth:
inches below pipe
inches above pipe
r inches total
!---rE 5'0 4
**If applicable: /understand the sy tem type specified is different from the type specified on the applibtiofl / accept the roeciflcwt fls of thif 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 ,~svs and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Age
l Date: G l / 2-
~(7
Construction Authorization Expiration Date: C1
HTE# l0'Y-24-76 ~ Permit # -kX-9 ~ L
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: c ! cP
ISSUED TO: • C --J, SUBDIVISION
LOT #
Authorized State Agen Date: -X4
c
d`
~f
~Lcl
tl
rZ,
a _ ~a
Y
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SORJSITE EVALUATION File
for ON Code:
SITE WASTEWATER SYSTEM
Owner. Applicant:
Addrv=
Date Evaluata-
Proposed facility:
DeAp Flow (.1949):
Property Size:
Location of Site:
Property Recorded:
Water Suppijr;
RC ❑ Individual C1 Well
u L
El Spring
Evaluation Method:
T
e of Wastewate
ger Boring ❑ Pit
Q S
r
Cut
yp
r:
cwaga ❑ Industrial Process
Mixed
P
R
O
F
1
SOU. MORPHOLOOY
OTHER
.
L
.1941
P
RU FACT[
E
1942
1941 .1941 Soil
/
3ttu
t
1943
c
un
Comiet's Wetmea/
Ted Minnio Color-
Snit
11V
.
I C/;' V ,Vfvlp I , .
Mar Factors (.1946k -
Site Claitication (.1948k -J-
Evshated By:
Other Premt
❑ Other
1936 .I944 PMM#
q" Re* Claw
law Ho ris • LTA
S$
G
Qj