IPACHTE# Harnett County Department of Public Health 26131
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: U t_0en- D2
ISSUED T0: SUBDIVISION `J V 'C-K LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S(F O ~ S )
Proposed Wastewater System Type: C0 r-4 J6_ ri 0 N 4ti
Projected Daily Flow: 3 GPD
Number of bedrooms: _ Number of Occupants: C- max
Basement ❑Yes )9,No
Pump Required: ❑Yes ;N No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well IOQ feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: t'~'~ \YS Date: '6ili ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holde 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: '_14P.`6cl-- PROPERTY LOCATION: govt flEg 'i CK -
~ SUBDIVISION S ~rncY-~~> LOT # '3
Facility Type: b JJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes "~'Wlo
Type of Wastewater System' Cor -4c-4 rt \o N e"t (Initial) Wastewater Flow: 3bo GPD
(See note below, if applicable
Co N vEs-s \ 0 N N L_ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size O In d gallons Exact length of each trench 54
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a~ 3d
(Trench bottoms shall be level to +/-1 14"
in all directions)
feet Trench Spacing: Feet on Center
Soil Cover: 1a - inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: a inches above pipe
Conditions: \'4 F.~ - Z N Mv~~ 'Ns( ~t2p t,, SGPS. c S•)s i 0 12 inches total
U-c t " t s C-X,4 cam. oR o W )i ►J Z ~ S S)" acz- ~,Pge 6~- Aec~yr~ .
**If applicable: / understand the system type fpecified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authoruatinn k whiart m rnvmntinn if thu it- ~1- ~ht nr t6 ;--4.9 um Al. e. Th r
Construction Authorization is sub oo compliances t ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: (Zaws Date: G16
struction Authorization Expiration Date: 6
HTE# Permit # "13
Hamlett Connty Department of I'iblic Health
Site Sketch
PROPERTY LOCATON: Q o LM-v6CJ-
ISSUED TO: SUBDIVISION S Or-c-, LOT
Authorized State Agents Wuvfx~'fot.KS Date:
►ap
C~ C-C) r-JN e": U M l
r- °`0
I
x51
~ 3G,So -
4-95 ~
D
2, 0 0 1-0ECL 00-
Deparhueut of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSM EVALUATION
for ON-SITE WASTEWATEIR SYSTEM
Owner: Applicant:
Address: Date Evaluated: C 1 6
Proposed Facility: Desigp blow (.1949):3 6 c
Location of Site: Pro" Recorded;
water $upputj Pblic ❑ Individual ❑ well
Evaluation Method: uger Boring ❑ Pit ❑
Type of Wastewater: wa ❑ Industrial Protest ❑
Sheet:
Property ID:
Lot
File !l:
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
P
It
O
F
1
1940
OIL MORPHOLOOY
.1941
THER
PROFILE FACTORa
L
9
0
[ mdacape
Posidow
Slope %
Haisoe
Depth
00
.1941
SMucdt w
Texdae
_
.1941
Conaiateaq
Mlonfo
.1941
Soil
webmw
Color
.00
Soil
IN.
.1936
Sapro
Clan
.1944
Re*
Haas.
PtuAla
Ctan
R LTA>R
I
~ tl~'I t
~ ~
G J
13Yaem'We(@) I c-c- r-J I " tj _--_1
Site Cla"i&adon (.1940X
Evehmted By: r
Others Prew*