IPACHTE# gY8'1 Harnett County Department of Public Health 26165
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:- rro~~ .ed.
ISSUED TO- 0,5'Y wrO % SUBDIVISION LOT #
NEW W REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: YEi) >L~
Proposed Wastewater System Type:
Projected Daily flow: _ GPD
Number of bedrooms: -Number of Occupants: C max
Basement ❑Yes ®'No
Pump Required: ❑Yes El No 2/May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 12""Public ❑ Well Distance from well feet Permit valid for: years
Permit conditions: ❑ No expiration
Authorized State Agent: ~c c , 5t c~ /fee Date: 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by health 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, .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 TO: l 104T
F-Y PROPERTY LOCATION:
F
ili
T
YF
D
SUBDIVISION G/-9t4 t
P
11 LOT # _
ac
ty
ype:
i
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** v2 S-7
,ec<,c,~:a-i
(Initial) Wastewater Flow: -7( GPD
(See note below, if applicable
v2 ~Yv
r~~c c~~1R-. (Repair)
Installation Requirements/Conditions
Number of trenches S
Septic Tank Size 000 gallons
Exact length of each trench J-0 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: Ca -10 inches
Maximum Trench Depth of: /yo`;ZO inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
inches below nine
Aggregate Depth: inches above pipe
Conditions: s1 [ ~.Ir 0/' C ti J ~G u e I a~~~ ,act 1 ryr c r.
inches total
~2jtr~~r GOecf!~ ~ucL-~v l~Rt✓ /ts~~J~¢ c gym! ld
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State AgentV Date:
Construction Authorization Explratlon Date: ~ ;z- o/s
**If applicable: /understand the system type specified is different from the type specified on the 7pplic3tiofl. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
HTE# S'c2S V8 f Permit # C2~. k J-
Harnett County- Department of F"ablic Health
Site Sketch
T r PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT # c7'
Authorized State Agent: Date:
cS. S ?of`S'r
f
c ~
l
Y~
p~ t v
1 ~
~ ate. ` I
7
o.rj- C-l - I
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIUSffZ ]EVALUATION
for OM-SIT]E WASTMATEH SYSTFM-
Sheet:
Property ID:
Lot H:
File M:
Cade:
Owner Applicantir
Address Date Evahmiat: C/ Proposed Facility* Desigp Flow (.1949r Propaq Size:
Location of Site Property Recorded:
water supw 0Pubi ❑ Individual ❑ Well ❑ spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit cut
Type oti WasEewater Q-Scmgo ❑ Industrial Process mixed
P
R
O
F
3011. MORPHOLOGY
OTHER
1
.1940
941
1
PROFRa FAC iORa
L
L.a ulacape
Harh(m
.1941
-
E
a
Poridea
Slope %
Depth
(1a)
.1941
st
h"
.1941
Sad
194a .1916
.1944
PlroAfe
uc
Terre
Colwde q
Miaaeio
Wetueal
Colar
sail Sapro
QV. Clan
Reek
Ha u
CfW
a LTAS
`s- `,,.r
r-~_ x~k Fr ,SrrP
umer Factors (.1946)
Site ClaSSi$cation (.1948 - Af
Evaluated B)r e".--
Othcs Prt at-1 k-fA '