IPACHTE#Harnett County Department of Public Health 26143
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Q-0 PROPERTY LOCATION: ~
ISSUED TO: W fir' ~.__.o rA s-~~vG, \ d cs SUBDIVISION V rr N6 ~1 0 r-sTE LOT # ~g
NEWIj REPAIR ❑ EXPANSION ❑
Type of Structure: 'WD (~-o "60D
Proposed Wastewater System Type: Pv -se-To %,auc:~ t 0 r
Projected Daily Flow: ~IC O GPD
Number of bedrooms: 3 Number of Occupants: ~o max
Basement ❑Yes ~K No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required,'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L d feet
Permit conditions: -t,
Permit valid for. _X Five years
❑ No expiration
Authorized State Agent-.: RDate: G ~0 \O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua of other permits. The permit holder 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 Improve ent 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: \14 y1~ Vk ~rn-scyv~\ 0 0 PROPERTY LOCATION: a.:7 \A T--.5s
SUBDIVISION 1 s~6t:N Qosry;E LOT # c1`1
Facility Type: S~CboX New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** Pv -e-7-0 0 Q ezvG-rro" ~'S ~ Errs (Initial) Wastewater Flow: GPD
(See note below, if applicable /
9t) ~~`o rJ /Ranairl
Installation Requirements/Conditions
Septic Tank Size oao gallons
Pump Tank Size 00 Q) gallons
Pump Requirements: ft. TDH vs.
Conditions: 0. V~ a-;~2&-ovl
QE G- rg (n E.a 0 to . So, - d
Number of trenches i
Exact length of each trench a60 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of- 12t, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
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Trench Spacing: Feet on Center
Soil Cover: ro inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
L~Gp, .t ~ S So 1 i ~JG ~ E~.1~' t5't' 02
inches below pipe
inches above pipe
inches total
t t~1'SOaLti-i~ej1(~~ .~~Nlt^nS}rt OC-~ ~ O~ C~CNC-f1-- N~~Gb C~VFft., ~P.\r3F~E~ C~AINSAIN ~LL JE:C ~j
**If applicable: l understand the system type specified it different from the type rpeci6ed on the app/ration. / accept the rpeci&atioar of this permit.
Owner/Legal Representative Signature: Date:
Thic rnnctm"inn ERthnn-ti n i,
r r° _ = a 6- SRC -ouuuiou Rumonzation snap not oe transterreo when there is a change in ownership of the site. This
Construction Authorization i ct to compliaq w v ' s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C 0 10
Co uction Authorization Expiration Date: 30 tS
HTE# S O-S -20-ASS 4z, Permit #
Harnett County Depa (inent of Public Health
Fite Sketch
PROPERTY LOCATON: c~-7 \4EZ--
ISSUED T0: ~y sC4 s tLUC.S~C) SUBDIVISION LOT
Authorized State Agent: Qj"-1.-1vC--,- L pd Date: 130 kb
~n U Y~ 6 E- ~ p, r 2dr~
i6/
Department d Environment, Health and Natural Resources
Division of Environmental Health Sheet:
Sheet
On-Site Wastewater section Property ID:
Lot
SOILISI'T& &VALUATION File M:
for ON-SIT& WASTffiWATCR SySTIM Code:
Owner. Applicant
Address Date Evaluated:
Proposed f ci itp: 3 sa~azmo v, ~ DC gs Flaw (.1949Y - r ~ Propertp Size:
Proposed o
Watet Sup* llC ❑ Wividual ❑ Well
Evaluation Method: rAuger Boring ❑ Pit Cut ❑ spring ❑ Other
Type of Waswwate r wage ❑ Industrial Process mixed
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