IPACHTE# Harnett County Department of Public Health 261 44
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a"7
ISSUED TO: wyn.4 Co Nq-COwr--CtoN SUBDIVISION GEN Qv t,(E LOT #
NEW X~ REPAIR ❑ EXPANSION ❑
Type of Structure: 5~ r•60~
Proposed Wastewater System Type: ~S°/ts REOUC,5.0 N
Projected Daily flow: 36d GPD
Number of bedrooms: 3 Number of Occupants: JC> max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community :X Public ❑ Well Distance from well \00 feet
Permit conditions:
Five years
❑ No expiration
Authorized State Agent:: s
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
tS Date: 3o O SEE ATTACHED SITE SKETCH
of other permits. The permit holder is res onsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: \-3ytAll ~N cw~
PROPERTY LOCATION:
SUBDIVISION \ t rA Q~E N )"I k- LOT
Facility Type: SFO(~,O SOD X, New ❑ Expansion ❑ Repair
# 1:1
Basement? ❑ Yes -'i~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 2-s'1~ AEwt,~ s C) (Initial) Wastewater Flow: GPD
(See note below, if applicable
\w 4-r,1P7o a s'/o 9.60 uG~ 10 ~J`J (Repair)
Installation Retuirements/Conditions Number of trenches I
Septic Tank Size ~6 - d gallons
Pump Tank Size gallons
Pump Requirements: It. TDH vs.
Exact length of each trench a(, 6 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'2 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: flet.~o: RC-rC,y~ At,y Song D„tz,Nc C.~aZe,N6 inches total
CL C'orY1r`YI(rj ry 96V, Jot f~.`fl Ep-s t-~"'~aP~G ~Erc-~FtEffl T~t?P L~GAN~S So1L ~C.~E.n7~~tr5,~, aF 14C) C)
\N5~f~13_VSt b~. ~Lt Ufltl~t~ l os;, ?=~r- ~IWQEk^~tG~SC~ ANO -aiA12. 1'1(ZI.1~1
**li applicable / undeatand the system type spedfied is different from the type specified on the app/ication. / accept the speclflnwons of this permit
Owner/Legal Representative Signature:
This Construction Authorization is suhierua rrvnrai
Construction Authcynzation is subject to compliance
Authorized State Agent:
Permit valid for.
Date:
if the site Ian, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
ov ons he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
26 \5 - Date: C 301) 0
Trench Spacing: c) Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Authorization Expiration Date: 6' 3 o tS
HTE# 5':15 Permit # ),C }''+H
Harnett County Department of 11~tblic Health
Site ketch
ISSUED TO: \A-/,;'
G~, . NT-j
PROPERTY LOCATON: 2 ~ '.1 E--5-)
_ SUBDIVISION T,4- q. E,,i eo)-4 'MI LOT # °1`1
Authorized State Agent: ~C-`+s ~AL~-►L~-ToL`~s00(6~ Date: ~01 yo
91 C)
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Deparlnent of Environment, Health and Natural Resources
Division of Envirorunental Health
On Sitte Wastewater Section
SOEUSIT t EVACUATION
for ON,SITR WASTIgWATZR SYSTEM
Owned: Applicant:
Addre= Date Evaluated:
PmPO 3ed Facility 3 Design Flow (.1949r -2, o ~
Location of Sitar Propatlr Etecorded:
water snppti; 00 ❑ lndivt" ❑ Well
Evahnilm Method: Auger Boring ❑ pit ❑
Type t~lNastow+ater: _~Sewage ❑ Industrial Process
Sheet:
Property 1D:
Lot N:
File N:
Code:
Prop" Size:
❑ Spring ❑ Other
cut
Mud
P
R
O
F
SOIL MORPHOLOOY
R
1
.1940
L
w
.1941
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a
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.1942
S
N
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00
.1941
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.1941
Sol .1$43
.1916
.1944
hea
uchr
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9 Mnr xe .r aY Other Factors (.1946)
site C1awi&1don (.1948) f)
, ov.~p 2 y , Evalwted Bye
Othea Present
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