IPACHTE#-iQ-s=aY,3?j
Harnett County Department of Public Health
25988
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0:
PROPERTY LOCATI _ Crocs~sr ,~j(
~
NEW LK
Type of Structure:
SUBDIVISION f E G 1
/ " 1~
REPAIR 11 EXPANSION ❑
Site Improvements required prior to Construction Auth
~ ~ ~Q 4Q'
LOT # / ~C3
orization Issuance:
Proposed Wastewater S
ystem Type: _ 22
rJ', ect, (-A- . T r ~*h
Projected Daily Flow:
-7L Q
GPD
Number of bedrooms:
-7
Number of Occupants: max
Basement ❑Yes
;M
Pump Required: ❑Yes
ado
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community
~ublic ❑ Well Distance from well
-feet Permit valid for
tTFive years
❑ No expiration
Authorized State Agent:: c _ Date Z ~/6
T
ED T~EETCH SEE he issuance of this permit by t e Health Departmento way guarantees the issuance of other ermits. he permit holder is responsible for checking with appropriate governing bodieTnAmeed g t51
he'r equ ements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Ppermit shaTll 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 TO: _S_4mac..C 'J"U`~ .-J, PROPERTY LOCATION:
SUBDIVISION ~e. .t LOT #
/ C G
Facility Type: El.%New El Expansion ❑ Repair
Basement? ❑ Yes L_No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" a 5- X Ju4`, ~6
(See note below, if applicable (Initial) Wastewater Flow: ~Cs G GPD
-9 ~ u :!2- fu - (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size poo gallons Exact length of each trench 6-0 feet Trench Spacing: Tank Size gallons Trenches shall be installed on contour at a Soil Cover /8 inches on Center
Maximum Trench Depth of. - 117-0 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
Co di ions: C} {-`o e Aggregate Depth: inches above PIPe
&Y k;' inches total
*If applicable: /understand the ryrtem type specified /.t different from the type specified on the app&,vion. /accept the specdl'wionr of thin 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ages ` f~ Date: G Coo
Construction Authorization Expiration Date: 6 la- 'R a lJ'
HTE# V Permit # a 5-7~ e F,
Harnett County Department of I'-ablic Health
Site Sketch
PROPERTY LOCATON: cry l evs~-
ISSUED T0:r~C,j'~.f SUBDIVISION a: 'rL LOT # /60
Authorized State Agent: Date: c /z, ~4 0
106
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112 5- t.
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Department of Environment, Health and Natural R Sheet:
Division of Environmental Health Property
ID:
On-Site Wastewater Section Lot
SOIIJSITE EVALUATION File M:
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: r zy/-~ 'I u
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water supply: r-Ablic ❑ Individual ❑ Well ❑ Spring
❑ Other
Evaluation Method: Auger Boring ❑ Pit cut
Type of Wastewater: Sew
❑ I
age
tdustrial Process mixed
P
R
O
P SOIL MORPHOLOOY OTHER
1 .1940 .1941 PROFtLB FACTORS
L Landscape Horizon
.1942
E Posidoa/ DMA .1941 .1941 soil .1043
N Slope % (la.) Str
>
f
.1956 .1944 preft
vo
uro
Cowbtem wetwoq soil
Texture Minrslo Cola IN.
Sspro Re* Calls
Clan Horis A LTAX
-
Dlei, smpdone Rem Sydow Other Factors (.19462
Available s a .1943 s stem Site ClaasiEcation (.1948k f
s stern • ~ s
Evahsated By: c7-
Site LIAR Others Prewt