IPACHTE#/6 - S -Zyf3Da;3 Harnett County Department of Public Health 26063
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
^ n PROPERTY LOCATION: S12 /'/y$
ISSUED TO- Co »O~L~" ~~•w~ ~r ~t SUBDIVISION .S7-,e-r,56-,J LOT # .13
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 j;7b
Proposed Wastewater System Type: 7S°/v 99bsKZu-l l/K~r
Projected Daily Flow: 3100 GPD
Number of bedrooms: 3 Number of Occupants: - -__max
Basement ❑Yes 21N c,
Pump Required: Les ❑ No ❑ MM~_'e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0 Public ❑ Well Distance from well feet Permit valid for Z Five years
Permit conditions: ❑ No expiration
Authorized State Agen Date: 7 - Z!- i n SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth 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, .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'oti, -~on At" _Z~JC PROPERTY LOCATION: Sit, ryy,8 A,-x~r_J.S j7A
SUBDIVISION LOT # /_3
Facility Type: _ New Expansion ❑ Repair
Basement? ❑ Yes C7' N$ Basement Fixtures? El Yes No
Type of Wastewater System" 1 ~,4,3r,I,a,e ~ ~zs 2 Ala r?#-WbC4_ V rr J (Initial) Wastewater Flow: 36 D GPD
(See note below, if applicable
1 A'~At 25-°La ~Ucj?rR, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /b D o gallons
Pump Tank Size / a o o gallons
V-Z 1 sGL '4 V'A
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 60 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. _.,Zq _ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on (enter
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
7 inches above pipe
Z inches total
If applicable: / underrtand the system type specified is different from the type specified on the app/iwion. / accept the spec16c7ti0nr 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
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewaac Toe troonr and nq-1 and 'k. err irrururrs riTr eurrru
nL M11MUICV 311L AHLH
Authorized State Ag Date: 7-21-lo
Construction Authorization Expiration Date: -7 - z / - /'5-
HTE# /D- -2YQD8 Permit # Z&063
Harnett County Department of t),tiwic Health
Site Sketch
PROPERTY LO(ATON:-C. M18
ISSUED TO: Cr ~w' '/TOE r-A)C SUBDIVISION S7-A- ~J LOT #
Authorized State A nt: Date: 7- Z, /02
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Department of Eavimnmank Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSYM EVALUATION File
for ON-SITE WASTEWATER SYSTEM° Code:
Owner. Applicant: 2L4S0g
Addrem Date Evaluated: tD
PropmW Fact ity: ~ Design Flow (.1949): 3,deZ~ Property Size:
Locadon of Site: Prepert}r #eoorded:
weer sup ► CTP
P w p Individual ❑ Well ❑ Song ❑ other
Evaluation Method: Auger Boring 0 Pit Cat
Type of Wastewater, ewap ❑ Industrial Promsse mixed
P
R
O
F SOIL M"HOLOOY OTHER
1 .1940 .1941 PROMA FACTORS
L Ladecap HarisOR 1941
9 Positloel DqA .1941 1941 Sad
M Slope 9ti (IL) 3trvctunt Coadeteaw Wefneb► .1y41 .1976 .1944 heft
Ted bftnnb Color Sod S.pro Rsair CteM
IN. C1er Hais. A
L?A>1
/ L b - 3~ SL !s-rz ,v 3rrp
3v _ `r`8 ` tS 38 Yb' ,1.s y
y
--4~~roq- gy~ Z L v -r~~ SL loot.
s = K'f scL W 7 y~
3 L lo-Z
naps am tuber Factors (.1946k
oleo Site Classification (.1948X
Evaluated B)r
- 4 Others present
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