IPACHTE# Harnett County Department of Public Health 2 6 1 1 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: MMN'5
ISSUED TO: Ks" C", SUBDIVISION 31", sNar.~-- LOT #
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 FriIC5C> KLkc-
Proposed Wastewater System Type: (:42t.,v Errcto"o,t_
Projected Daily Flow: 3~ GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '5~ Public ❑ Well Distance from well s COa feet
Permit conditions: Permit valid for, Five years
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuance o
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
SEE ATTACHED SITE SKETCH
B. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: ! ~ » CV rti e*) }ti 45 PROPERTY LOCATION: I~a.cZx~' ZD
SUBDIVISION N ao LOT #
Facility Type: SF'D(50 XL~~)' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" r v S t!17 so N
(Initial) Wastewater Flow: 340 GPD
(See note below, if applicable
CCotvvst.T-,tor4 AL, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 6 O gallons Exact length of each trench 50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a4" inches
(Trench bottoms shall be levelto +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: __\,j P<G a,, U
SO ~¢oM
rs
Trench Spacing: Feet on Center
Soil Cover: _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(I., inches below pipe
Sggregate Depth: inches above pipe
inches total
*If applicable: /understand the system type specified is different from the type specified 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 omphance wi ovthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~~~(ZS Date:
Authorization Expiration Date: 91,2111-
HTE# 1O-5-aft-3$ Permit # _ `4} 1'-':3
Harnett County Depailinent of ll ~iblic Health
Site Sketch
PROPERTY LOCATON: N1a,Q.~g r,
ISSUED TO: ylc': ' r-A c~ C-li m SUBDIVISION Q4~ ~~~oct fl LOT # `-11
Authorized State Agent: ~i;s (gLr -boy Dp Date: C- l
10
3>>11
Department of Em ronamt, Health and Natural Remurm
Division of Environmental Health
On-Site Wastewater Secdon
SOIL/STTZ &VALUATION
for ON-S1TZ WASTEWATER SYSTE
Owner: Applicant:
Addresr: Data Evaluated: C Y~)) 0
Proposed Facility: 3 96)Qoo, Design Flow (.1949Y 36a SP
Location of Site: Property Recorded:
Sheet:
Property ID:
Lot
File
Cade:
Property Size:
Water on MAW- Uc ❑ Individual ❑ Weil ❑ Spring
watat
tiott Auger Boring ❑ pit cut
Type oY Wastswater. `❑C.Sewage ❑ Industrial process H Mixed
❑ Other
P
A
O
P
1
OIL MORPHOLOGY
.1940 .1941
THER
PROFILE FACTOA3
L
9
H
Laximm" Harizoe
PosidaW Depth .1941 .1941
Slope 9tt 00 sbuctun/ Condrtmn
Tex" Mlnrnlo
1941
SON
We4anar
Color
.1943
Sail
IN.
.1916
Sapro
Clan
.1944
Redr
Hart=
PMM
Ow
A LTAM
Yl
14M
site Clai$cat on (.1948X '
Enhated By:
Others PMMIL-