IPACHTE# ►~a Harnett County Department of Public Health 26164
Improvement Permit
A building permit cannot be issued with only a Improvement Permit
PROPERTY LOCATION:
ISSUED TO: .Ko SUBDIVISION C- ~~csc~ ey tnT
NEW e REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ,.5`01 Ad t Of
Proposed Wastewater System Type: CG"t.y~
Projected Daily Flow: cZY0 GPD
Number of bedrooms: 02 Number of Occupants: max
Basement ❑Yes _ j~_-
Pump Required: ❑Yes L~lo No ❑ Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E Public ❑ Well Distance from well feet Permit valid for. Cave years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: .Z c°, °l SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in 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, .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: PROPERTY LOCATION: I o
SUBDIVISION E) ~~acQ Z-_f e~ LOT # 6
Facility Type: ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Cow ~1)A (Initial) Wastewater Flow: GPD
(See note below, if applicable
C_- 11, dl-A_-~ f °"11~) (Repair)
Installation Requirements/Conditions Number of trenches 0
Septic Tank Size /00 y_ gallons Exact length of each trench s0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: dY-30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover. /a` lE3 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
j l Aggregate Depth:
inches below pipe
inches above pipe
inches total
*If applicable: /understand the system type specified is different from the type specified on the app/ication. /accept the rpecif1cat1ons of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred ,he
Construction Authorization is subject to com iance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Age t;~ Date: ~i
Construction Authorization Expiration Date: .e
Date:
there is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
C'el c
HTE# /o- r= 2V L(. 8 Permit # p?, I q
Harnett County Department of Public Health
Site Slketch
PROPERTY LOCATON:~ r 'ej•
ISSUED TO: K,41,, Yk.,4 IG SUBDIVISION 1 ~1 ~ LOT #
Authorized State Agent: C Date: a2fi (%Z~~ o
I
L
Y~
- 4- r-, e
Department of Environment, Health and Natural Remucts
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot M:
SOILlSrM EVALUATION File N:
for ON-8M WAST>gWAT>ES SYSTI£M' Cade:
Owner: Applicant
Addrea= Date Evaluated:
Proposed of Sit ry: Deaigilt Flow (.1949}: Property Size:
Lc
gdoa of Sit=
, Proms Recorded:
Watu Tuppo; Id Pubw ❑ Individual ❑ Well
EvaluationMedlod: ❑~AugerBoring ❑ Pit Cut [I Spring C1 Other
Type of Wastewater: Sewage ❑ Indust iat PMcrss Nxed
P
O
P SOIL MORPHOLOGY
I .1940 .1941 ~R
L ~p Horizon 1941 PRORU FACTORR
% .1941 .1941 Sod 1$41
3bycbYd ComUtmq webmw .19lS 1944 Ptoft
T Ted ~Mtdnb Color 9oi1 3"M Raw chw
I Clam Hais. • LTAI<
o U ~~~~r
T 15
site clasocation (.1940 f
Evahated By:/
others Prex* c r