IPACHTE#i6- zyzs'~ Harnett County Department of Public Health 2 d 0 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:. /y/ <:"CcJ/-r- Z"i
o r.,
ISSUED TO•r zze ~ ~ .inc. SUBDIVISION er~,.•~~ S LOT # .x'07
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ S F4`~
Proposed Wastewater System Type: z~%f11~C~clctrLu~J~«(
Projected Daily flow: _54o,o GPD
Number of bedrooms: 3 Number of Occupants: C> max
Basement ❑Yes CE No
Pump Required: 0Yes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 Public ❑ Well Distance from well feet Permit valid for Rlive years
Permit conditions: ❑ No expiration
Authorized State Agee / ~`(•P r Date: :~7 - ~ /a SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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, J952, .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: PROPERTY LOCATION:
SUBDIVISION LOT # /b7
Facility Type: r1 Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes IZ/ No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System" ~ 142 ZY j ~ZD .~,Jlnitial) Wastewater Flow: GPD
(See note below, if applicable
-Xr (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size /a 0 c> gallons Exact length of each trench 3 00 feet Trench Spacing: i~ Feet on Center
Pump Tank Size !o U o gallons Trenches shali be installed on contour at a Soil Cover lr inches
Maximum Trench Depth of- 3alt 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 pipe
Aggregate Depth: 2 inches above pipe
Conditions: 1'2- inches total
If applicable: /under land the system type pacified a different from the type specified on the application. / accept the fpecillwionr of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorisation k w6rt to rovnrarin. if tha it. n1— n1,, n. rho Imm~d.d , ,6,.,..,,. U. f... . . . -1 .
i r"'-• _..D-- +.,a„ „~i vv no,a,c„c~ nncll rllctc IJ 6111611~C III UA'tlCl)" ul llle )Ile. 11115
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 SEF ATTACHFD SITF SKETCH
,.f
Authorized State Agent` Date:
Construction Authorization Expiration Date:- S
HTE# la - s'--ZV Z-5-'j Permit # z 1/- y 5` 8
Harnett County Department of Public Health
Site ketch
PROPERTY LOCATON: JII/ 1Z_ n~
ISSUED TO: SUBDIVISION LOT # /07
Authorized State Age ~ Date: 7-
` 13
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Zoo
I
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Department of Emlronme k Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSITB ZVALUATION File M:
Code:
for Oil-SITE WASTE yATLRSYSTEM
Owner. Appti=t:
Address: Date Evaluated: 6-e~>- -ZB- r
Proposed FxWtr D{-,D Deaigu Flow (.1949r 36,> Prop" Size:
Locadon of Site: Pro" recorded
Watu gup* C Pu tic ❑ hWMdual ❑ Wep ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit Cut
Type of Wastewater (Sewage ❑ Industrial Process Mixed
P
R
O
P
30Q, NO1tPHOL00Y
OTHER
1
L
.1940
L
w
,1941
PROFtLa FACit7Ra
x
msp
Herizom
1942
9
A
Positlow
slope %
Dq*
)
(In
.1941 .1941
Sh
w
sod
.1$43
.1956
.1946
Pbt
.
ucom
Corwdem
Texh" Mtnmb
wetumd
Color
Soil
3°pro
Re*
CI~M
Mgj.)_
_Clan
Hods.
LTAt
8 ' yZ I acc. 4/~ &'St' I I 1 .Sq! 361 4
1 0 - /o t-
w -qq Sc c ~ n~ l ~ s at Y & T.
t q L q% 9
f:t 3Z nr~ya F - i 1~-43i~ ¢al u
~4 NsN P
1*& 5,
yz
R°= txlia Factors (.1946X -
New
9ite C1933iHcadon (.1940X
y Evaluated By
3 Others preset,
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