IPACHTE# lo- s=a~3`6 ~ Harnett County Department of Public Health 26127
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n PROPERTY LOCATION: . N C2) ~
ISSUED TO: ~o~ PEC.SLQ E;17 SUBDIVISION ~SEs-5,E Pp, Lt~,, NU LOT #
NEW>< REPAIR ❑ EXPKION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1`160 Q5 S LI-Y
Proposed Wastewater System Type: py -('7-0 25 to RfsJ v vC s s N
°
Projected Daily Flow: ?,LO GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ~k No
Pump Required:loes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Well Distance from well feet Permit valid for: Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent.: Date: N-1 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by 71h, ealth Department n no The permit holder i respon 'ble for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if te plan, plat or the intended use changes. The Improvement Per 't 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 Bgilding 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:
Roe,~a
~E.c:Qy e:7
PROPERTY LOCATION: N,,), C;-,4--)
facility Type:
fnoo
/ SUBDIVISION BEss,E Pc2,E L0,"o LOT # -N-
C S S Naw n Fvinncinn In D-;~
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** pu "e -C , a-sN QEpyC,~~ \ 0 N (Initial) Wastewater flow: 3V- 0 GIRD
(See note below, if applicable
0/
u vc, t o la ~GOUC,~ \1n N R
Installation Requirements/Conditions
Septic Tank Size TOcnd gallons
Pump Tank Size lot e gallons
Pump Requirements: ft. TDH vs.
Conditions:
01
t E5 M~
(epalr)
Number of trenches
Exact length of each trench L aU feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
'\Or ~c or-r S ,G CJ y Z, ) Er"
-J 1z s , 5 lA OtL
Trench Spacing: r1 Feet on Center
Soil Cover. C=,- )a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
le Depth: inches above pipe
° inches total
*If applicable: / undecrtand the system type specified is dillerent from the type specified on the app/ication. /accept the fpeci6catio17r of thi permit.
Owner/Legal Representative Signature: Date:
Thi, rnnan,rtinn AntMnver;nn <„ki- ;r - '
- ° ° r ray -ang- iue Lumuuuimi Humorrzauon snau not oe transterreo when there is a change in ownership of the site. This
Construction Authorization is subject to compliance' h tht tssof the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: t7 Cis Date: 1w t0
Co ction Authorization Expiration Date:
HTE# lO -,GPermit #~2r`l
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: Rom. ~C36cQu SUBDIVISION LOT # `a.
Authorized State Agent: ~.G~~ wGtL eLrc~ Date: 6~ S~~ 1d
NG-6.1
09Aw106
13'
Department of Emirontnent, Health and Natural Resmtrzes Sheet:
Division of Environmental Health Property 1D:
On-Site Wastewater Section Lot Property
SOIIJSTTE EVALUATION File
Code:
for ON-SITE WASTEWATER 9YSTzM
Owner. Applicant:
Address
PmpmW FacilitT
Location o[ Sits
Water Supply; ❑
Evaluation Method:
Type of 1Nasttwater:
Date Evaheated:
Dedp Ftow (.1949): Pmpeztp Size:
Ptopertj► Recorded:
P b1iC ❑ Individual 14 Well ❑ Spring ❑ Met
,Anger Boring ❑ Pit Cut
Sewage ❑ Industrial Process Mixed
P
R
O
P
SOIL MORPHOLOGY
OTHER
1
.1940
1941
PROFILl1$ACTOR9
L
Lampe
Horizon
.1441
9
N
PosidoW
Slope%
Depth
(Tor)
.1941 .1941 son 1 ! .1936 .1944
st
l
Pto&
ream
CmWitem wetimmel soil Sgrv Raw
Ctm
7
l
Ter time Mhwsk Crier 1N CIA" Hans
7 7
LTA>t
r -e
- U 44
M~
~71 -At/f-C/f
yl~2-,)11 ~~o
ILI
C Vi ofd/ I-I„ f
U ll 7~ f,
0-`
Ir
Otha Factor, (.1946
Site CILWcatian (.1948X
Evahmled By:
Othm Pftmt