IPACHTE# 0-5--2g7D3 Harnett County Department of Public Health 26061
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_-1~4 - /5lcil s, o
ISSUED T .J//tgnJ g QA4 SUBDIVISION J'it., LOT # ,,3__.
NEW 0 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: <5'0 :W / 14
Proposed Wastewater System Type: tt& iZFptk1 J t s _
Projected Daily Flow: 31a.0 GPD J
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes -YNo -
Pump Required: ❑Yes ❑ No 0"M a be required based on final location and elevations of facilities
Type of Water Supply: 11 Community Public ❑ Well Distance from well feet Permit valid for: 12- five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 7-1s---/b 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: V/",.1 f'tC~Li~e~/i9 PROPERTY LOCATION: :5yc15760
SUBDIVISION P LOT # 3
Facility Type: - ~W E~l New P Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System" 25n! 04_ (Initial) Wastewater Flow: 31x0 GPD
If I
(See note below, if applicable
lint R~CJ161~3 II/A- (Axg~~~)r
Installation Requirements/Conditions Number o trenches 3
Septic Tank Size gallons Exact length of each trench an feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over to inches
Maximum Trench Depth of. 22 )f e 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
Conditions:
Aggregate Depth:
inches below pipe
Z inches above pipe
/L inches total
*If applicable: /understand the system type speci&ed is different from the type specified on the app/ication. / accept the .specifications o/ 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
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewaop Trpatrnpnt and nit-1 ind 1n d,a -A;,ii- f t6[. crr rlTrrtrurn rrrr rurrru
_..r. „t„ FOIL... JLL n11MI- LV J11L J11ULH
I~
Authorized State Age Date: / 5 -/0
Construction Authorization Expiration Date: :7 / `7
HTE# Z6 -S'- ZK ?D 3 Permit # 2-(,D(,[.
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~pc /5W f--,.0 2Z
ISSUED T0: SUBDIVISION LOT
Authorized State Age /t-r.. Date: - S'~ -
i~
w
h
I fV5
.0th
1lI ~SWM-H
0
S2 1SZD - Fco d..-s (?-l~
Department of Environment
Health and Nature! Resource
,
s
Division of Eitvironmental Health
Sheet:
Ore-Site Wastewater Section
Property ID:
Lot 0.
SOEUSIPTL EVALUATION
File M.
for ON-SITE WASTEWATZI& SVSTM
Code:
Owner. Applies
Address Date Evaluated:' zd
Proposed FwWtp: J,W n-t+ Desip Flow (.1949r
Pmpertp Size:
Location of Site: Pro" Recorded:
Watet 3up* ❑'Pubiic ❑ Individual ❑ Well
'
❑ Spring ❑ Other
Evahrafion Method:
Auger Boring ❑ Pit cut
Type of Wubmter. ❑-Sewage ❑ Industrial Process Mixed
P
R
v
F SOIL MORPHOLOGY
OTH
t .1940 .1941
L Landscape Haizue~
ER
IU FACTORS
11941
B Posided Depth .1941 .1941 sod
M Slope 9t, 00 I"Cft al CofWdOM Weft"
1041 .1936
.1944 PMW%
Tomwe Mlnatalo Color
sod Sapro
11Y. Clan
Re* Cm
Haas, A LIAR
L y3i, V -LZ S(, A040
Z2- yJ f "r 3Y" 71
Z y o u Cs .t ~a
.3 L 3-v9p & -/oo SL- CvR #,5xf"
ZA!f
at P 3L ~4 z
L I'M
zv- If!) Is 4 s.0. 32'' 7.'5'7 z
S'-
7-1
S~ -34 L
3 z Y$ <--L- h)P0 36 7 s"~~
wear Factors ( 1946) -
Site C1auiEeadon (.1948)
E"hated By:
Others Present: