IPAC0 5
HTE#~,~ Harnett County Department of Public Health 264
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:'~L rto3 4>k" ~Q
ISSUEDGX- C-?~j4~~ SUBDIVISION C4(.-4,, A ~u LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: DswrAlq
Proposed Wastewater System Type: jeV 9('~t~tZa~J (q{c ~1~~f
Projected Daily Flow: 3 fad GPD
Number of bedrooms: 3 Number of Occupants: 41 max
Basement ❑Yes L?J No
Pump Required: ❑Yes ❑ No L!f Mle required based on final location and elevations of facilities Z-Type of Water Supply: ❑ Community f!I Public ❑ Well Distance from well feet Permit valid for I-Five years
Permit conditions:
❑ No expiration
Authorized State Agen Date: - - /D SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 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: :574 / ds,~P1 PROPERTY LOCATION: /L(63
SUBDIVISION Cl• 0, . A A4/r~ LOT #
Facility Type: ~Wlv`N N New ❑ Fxnansinn F I R..~i.
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" e!5~6IWI)V(P7r-)J / j&,, ~ (Initial) Wastewater Flow: Flop GPD
(See note below, if applicable
Z5%'!'!>a iayazf)A (Repair)
Installation Requirements/Conditions Numbe of trenches !
Septic Tank Size /DOO gallons Exact length of each trench Zqo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z8-'2 I inches
(Trench bottoms shall be level to +/-1/4°
in all directions)
Pump Requirements: It. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
2 inches above pipe
JZ inches total
If applicable: /understand the system type ,specified is different from the type rpeciTed on the app/ration. / 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 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 A X#W-S
Date: 4. 9 - /a
Construction Authorization Expiration Date: 4
-
HTE# f p - S- 2~(S73a Permit # a G b 5-Lf
Harnett County Depailment of Public nealth
Site Sketch
ISSUED T0: PROPERTY LOCATON:.,1903 C-,t /Z6
SUBDIVISION C~_ i3,.4 ,e LOT #
Authorized State Age
Date: 4-7- 6
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Department of Environment, Health and Natural Re umxs Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot:
SOIUSITE EVALUATION File
Code:
for ON ITZ WASTEWATER SYSTEM
Owner. Applicant: -YS'36 - 7-C-3 - I
U
Address Date Evaluated:
Proposed Facility: IQ ms- Design Flow (.1949r 36O
Property Size:
Location of Site:
Property Recorded
Watot supply; ik ❑ Individual ❑
r
Well
❑ Sluing ❑ Other
Evaluation Method: Boring ❑ Pit
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T
e of Waslewater
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yp
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ewage ❑ Industrial Proms
mixed
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OTHER
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.1940
Landroap.
Horizon
1941
PROFTLB FACTORa
E
0
Positiosl
Slope %
Depth
(1a)
.1941 .1941
st
/
1941
soil
15143 .1916 .1941
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rucho
Considen"
Texture Minnlo
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Color
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Site Clud0cadon (.1948X
Evehated By
i Othas Prem*