IPACHTE# 16 -,5 Harnett County Department of Public Health 2 61 51
Improvement Permit
A building permit cannot be issued with only an Improvement Perm
-
ISSUED
/
PROPERTY LOCAT N: ~Z V
TO:
6
'
SUBDIVISION cr ea
LOT #
NEW -F-l
REPAIR ❑
- F
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
4
'
Type of Structure:
6 ~ o
S
D
Proposed Wastewater
System Type: _a
7 k -4 -4'-Z ms ('y ,r1"-
Projected Daily flow:
316
GPD
Number of bedrooms:
---7
Number of Occupants: C max
Basement ❑Yes
I~ No
"
Pump Required: ❑Yes 2
No
❑ May required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
21 Public ❑ Well Distance from well feet
Permit valid for: 2- ive years
Permit conditions:
❑ N
i
i
o exp
rat
on
/I
Authorized State Agent: fi _~i f~ ~ Date: ~ 4B',T2 a--v SEE ATTACHED SITE SKETCH
The issuance of this permit by the He t Department in no way gu .tees 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, 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:, -5413-J4-1'---' / / A,
PROPERTY LOCA N:
SUBDIVISION LOT # 16 C
Facility Type: ~rll~-D New ❑ Expansion ❑ Repair
Basement? ❑ Yes 0" No Basement Fixtures? , ❑ Yes ❑ o
Type of Wastewater System** ,577 ; I
(Initial) Wastewater Flow:--A U GPD
(See note below, if applicable p
if-7, -Jw1/-1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench j'() feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _20inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
r lK of f~ L c*4-- j~ r f i rs
~ c .r- ,r
Trench Spacing: '51' Feet on Center
Soil Cover: / 16 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
"If applicable: /under land the system type specified is di/ferent from the type specified on the app/ication. /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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agen Date:
Construction Authorization Expiration Date: 6 4 2
H T E # ~c - S" )-q S"Q V
Permit # S7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: lei
ISSUED T0: SUBDIVISION. LOT #
Authorized State Agent: Date:
/z~
,~pM~J4, 6'.
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOII./SITE EVALUATION
for ON-SITZ WASTEWATdR SYSTEM
Owner: Applicant:
Address: Date Evatuatod:~~~~`~ v
Proposed Fatality: Design Flow (.1949):
Location of Site: Prep" Recorded:
Water guppb Q Public ❑ Individual ❑ Well
Evaluation Method: 0"¢dger Boring ❑ Pit
Type of Wastewater: Sewage ❑ Industrial Process H
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
P
It
O
P
I
1940
OIL MORPHOLOGY
.1941
THER
PROPIL$ PACTORa
L Ludomm
E Positiod
M Slope %
t ~
Horizon
Depth
(1a.)
Jr
.1941 .1941
Shychard Comidam
Texhm mlmnlo
~ f
1941
Soil
We4~eaa!
Cola
.043
soil
IN,
.1956
SWO
Clan
.1944
Re*
Haas.
Pmft
Ctm
R LTAX
~
c
Repair system Other Factors (.1946k
Site Cla!w0don (.1948X i-
Ev"ted By: r'3-v\,
r ' Others Prem*