IPACHTE# 10-5,aZA59-7 Harnett County Department of Public Health 2 61 4 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a. N4 :S-'7
ISSUED TO: WyNtr Cyn4 5-.2yC7' NdN SUBDIVISION TiNGF-.iv PGs>~E LOT
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF~D (4'c)---G
0
Proposed Wastewater System Type: Qyrn ` t7 F-)~/b cpv~s0~f
Projected Daily Flow: 36 d GPD
Number of bedrooms: _ Number of Occupants: ro max
Basement ❑Yes ANo
Pump Required: '1511-s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~(DO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: G '30 d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is nce of other permits. The permit hold r is res nsible 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 T0: ~YHN ~N~-;2y~:~dN PROPERTY LOCATION: 271 lvJcIs-\
SFfl~~o,n SUBDIVISION NGS>J LOT # r~1q _
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes )2~ No
Type of Wastewater System** w a.S% Rc--D U (Initial) Wastewater Flow: GPD
(See note below, if applicable
R)4p 0 2-V16 S~ dty (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1°000 gallons Exact length of each trench
feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover g inches
Maximum Trench Depth of: S inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
regate Depth: inches above pipe
Conditions: de trcrl L rsy ~JOs, ,,,y ~1 f 1ar~~- ~psrJi~ 2w G inches total
FG1JMMtrNt7~9 7~3 a i-. C) vE2,\ F," ~y ~X'P i-~(~A t ~iS ~Jp i i. ~E t.) S 1 ~ Y a~~ Q pfd ~C1C7 l0
~-0vGrL~Er-05~'D Ov&-O' ~tE:t~ f1q,n>~f'yN At->• :~c~~l
**If applicable: / understand the system type speared is different from the type speciTed on the app/ication. l accept the sped(cations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r on if the 11a111an, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change n ownership of the site. This
Construction Authorization is ect to complian ith visio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: VJV -N~- QL- S Date: ~A zz)i )a
Authorization Expiration Date:
t O - S-a~5
HTE# C~ --I Permit # 2~'f- Il:f-4,
Harnett Comity Depai4ment of Public Health
Sitt, Sketch
PROPERTY LOCATON: a1
ISSUED TO: y n rj C- 0lsC 2V ;T\ 0 N SUBDIVISION ~G E:+J Poi v C L- LOT #
Authorized State Agent: oLiv -~oLxSoa Date: 6,13o'10
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Department of Environment, Health and Natural Resourm Sheet:
Division of EnvironmeaW Health
On-Site Wastewater Section Property 1D:
Lot Ih
SOIIJS1i'TE EVALUATION File M:
for ON-uITE yr Code:
ASTEWATmm a lr a l"
Owner: Applicant:
Address Date Evaluated: \
Pro
osed F"t
3 g
p
r-
c1 Desiga Ffow (.1949}: o~ a
Pmp" Size:
Location of Site: Fropetty Recorded:
Watts Sup IBC ❑ Individual ❑ Well
❑ Spring
❑ Othet
Ey*mdon Method; Auger Boring ❑ Pit Cut
Type of Wastewater
. emp ❑ Wustrial Process mix
ed
P
R
O
P
L
1940
SOIL MORPHOLOGY
OTHER
L
.
1941
[.gyp Horizon
PROFU
FACTORS
.1941
8 Position; Dept
Slops % ib 1941 .1941 Sod
Struohtr Corulrtmcr Wetrfeal
.143
.1916 .1944 PnNiti
Texln» Minnlo Coto
Ion
jm•
S.pro Re* cow
Clw Hais i LTA>r
J °/c Ac° G L q p t,
s,Ae
L 5
n J'f
J~ 3.)
Site C1assificadon (.1948) pS
Evelmied By
071
Other, Prem t
'v~°t`aacwS`I' ; "Spi.L- s; L .t t20?~4VU TAL
AS tJC, NYC, a
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