IPACHTE# Harnett County Department of Public Health 2 5 9 9 5
(mArovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO : <ro o,~v ,et_
ISSUED TO: Q
y - SUBDIVISION G~ µ j' ~~~1{ LOT # 00
NEW O' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L/0 416,
Proposed Wastewater System Type: r,~ u c.r i, ,
Projected Daily Flow: z J 6 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ;i No
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2":-Public ❑ Well Distance from well feet Permit valid for: "Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1 ~ ~->c ~ lYf Date: a- 2oi'G SEE ATTACHED SITE SKETCH
The issuance of this permit by health Department m 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, .1957, .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 LOCATION:
~ SUBDIVISION f LOT # /?6
Facility Type: /c~ C1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2T"-No Basement Fixtures? Yes ❑ No
Type of Wastewater System** 02~~ .Ae.4-(Initial) Wastewater Flow: GPD
(See note below, if applicable /
x,17, 1~1f ~c 1- -r~/rtrn%- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 000 gallons Exact length of each trench 59 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _,29 _ 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. 2F3 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
t i Aggregate Depth:
uk C' "/1
I Y- c c+tE [ e b, T. o. es i c f fit JS/17 e
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the app/icatiom / accept the specifications of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suhiert to rpuratinn if tha a. nkn ntet ..tio d
_ .....6 ,,,,,,,,r ue ❑auaerreu wren mere is a change in ownership of the site. This
Construction Authorization 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
R In
Authorized State Agertt~S, Date: ~z Ash
Construction Authorization Expiration Date: 6 112- z(; <r"
HTE# ZY3/,3-- Permit # 02 ~ S'9S`
Harnett (county Deparfinent of Public Health
Site Sketch
PROPERTY LOCATON: 1 c . ~r d .
ISSUED TO: SUBDIVISION LOT #
Authorized State Agen I/ Date:
l~
t
7°
fa
ICI
f
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A 3f-.-, ci-
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot 0:
SOMSM EVALUATION File M:
for ON-S1TZ WASTZWATER SYSTEM Code:
Owner. Applicant
Address Date Evaluated: C /z,// i
Proposed Facility: Deslgp Flow (.1949Y Property Size:
Location of Sita Fropert)r Recorded:
Water sup* ~ He ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation M Auger Boring ❑ pit cut
Type of Wastewater: T-S-cs~age ❑ Industrial Prmss Mixed
P
R
O
P
SOIL MORPHOIAOY
i
.1940
.1941
L
Haizoe
B
Posidod
Depth
.1941 .1941
i+
slop~'lfr
00
Shad" Coradde q
T
/o
G !
f ~~M f~~Ul
C,
OTHER
PROW PAC
.1941
soil .1043
wem.,.r sit
I
._-V, °,•14R= vmdr Factors (.1946)
ea Site Clas3i8cadon (.1948) T
Evehated By.
Others Pt+emt Q
1956
t
.1944 Ptoft
Re* cim
Haas. A LTAN
'r S-