IPACHTE#to-s-ay1465 Harnett County Department of Public Health 2 61 4 5
improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:.
ISSUED TO: Cu rn pE.[LJ_P'"0 SUBDIVISION _ IX~*%'~0;r0cZJ::>
NEW X REPAIR EXSION El LOT : 14
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 V 35"
Proposed Wastewater System Type: PU n,e \ O C~ Nv r rc t vN r, I--
Projected Daily Flow: 71> 4,Q GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No IKMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well _Ap 0 feet
Permit valid for )<Five years
Permit conditions:.
❑ No expiration
Authorized State Agent:: ~ Date: ? 1 Lb
The issuance of this permit by the Health Department in no way guarantees the i ce of other permits. The permit holde is r ponsible for checking with appropriate governingSbodiesA~nAnNED SITE S~ETCnts. 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: C-umQs ZA.40 PROPERTY LOCATION:
Facility Type: _`~'~O ~ '`35~ SUBDIVISION A51\E~-onA LOT # \LN
New ❑ Expansion ❑ Repair
Basement? ❑ Yes IN, No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Qv Me ~ o Cv^rv6vS,vrv PsL
(See note below, if applicable
V L-ACLIP~ .Low at-14 6nf (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size LCD -:!:)(0 gallons Exact length of each trench 7 S feet
Pump Tank Size ~OOO gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 30 - an inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
1`ne.-t E.~.,c.Ci-y a,ch, C) ~ ~N ; 1 A L ocL n~~2 cZ
(Initial) Wastewater Flow: `340 GPD
Trench Spacing: Feet on Center
Soil Cover: 1g inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
ggregate Depth:- inches above pipe
d J'TbS 1 ~ inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the rpecill'wiom of this permit,
Owner/Legal Representatjv nature:
Date.
This Construction Authorization is subject to revoc if the Ian, plat or the intended use changes. The Construction Authorization shall not be translrr,,I there is a changeownershp orh,
fonstruction Authatin compliancthe nhe Lws and Rules for Sewage Treatmnt and Dispal and to the cnditions of t SEE ATTACHEETCN
Authorized State Agent:
Date: -7 1s))°
Authorization Expiration Date:
HTE# 10--5 - a~U Permit # a6) 145
Harnett County Department of 1--lublic Health
Site Sketch.
PROPERTY LOCATON: Tn AA;,kS ~p
ISSUED TO: Climc pup, ES SUBDIVISION P1S~~S`c~1t2D LOT #
Authorized State Agent v 2'C"oL Date: ' d
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Department a Euvironnunt, Health and Natural ResourM Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot a:
MUSra EVALUATION File N:
ror ON-SITr W~ygmy. Code:
ATEIEI SYSTEM.
Owner: Applicant~
Address
Data Evaluated:
Proposed Facility:
Locadoct of Site:
Design Flow (.1949):
Property Size
1flpOrtr Recorded:
watet Sup*
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M
❑
Public ❑ ladividaal ❑ Wen
Cl Sprin
va
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on
ethod:
Type of Wastewater:
❑
Auger Boring Pit
S
g
ewage ❑ industrial Process
MLIed
P
O
P
1 .1940
SOIL 4tORPHOLOOY
OTHER
L spa
Haizoa
.1941
PROFILa FACTO
4 Slope K ~1~
•1941 .1941 .1942
Sod
st
fuchow Conswa ce wdnnd
Texan Mi
l
Soil
v
awa
o Color
/N
'Yf^~ r~j~ty
a~_~\
c~K JCL i''2
pdon
Set
Repair System Other Factors 19W6~
lvailable 9 a .194!
site ClaaaiEE d .1940
Others Pt w t
❑ Other
.1916
Sapro
.194 A.Al~
Re* Clr
Haas. ALTA
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F5 S6
46