IPACHTE# /o s= a~~ Harnett County Department of Public Health 26177
Improvement Permit
A building permit cannot be issued with only Improvement Permit
PROPERTY LOCATION: 1a t c~ nr~ Ica.
ISSUED T a.JosE SUBDIVISION C :-t7.- S -a r~. cf -i- LOT # c3'5-
NEW f REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .r D X 4 L
Proposed Wastewater System Type: o s L, W za,,4,-,
Projected Daily Flow: 7 G G GPD
Number of bedrooms: -7 Number of Occupants: max
Basement ❑Yes !Q No j
Pump Required: ❑Yes ❑ No 2 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 'rive years
Permit conditions:
❑ No expiration
Authorized State Agent.:
Date: zo SL~I ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth 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 taws 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 T0: -r PROPERTY LOCATN: !0'.-4 k/'O-rc, 'ed-
~ SUBDIVISION ec{..r'o~- LOT #
Facility Type: ~ [~New ❑ Fxnansinn I-1 Rannir
Basement? ❑ Yes L2 No Basement Fixtures? ❑ Yes ❑ No r
Type of Wastewater System** (Initial) Wastewater Flow: .316 Q1 GPD
(See note below, if applicable
edc fi Ww (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Ocf C) gallons Exact length of each trench 'f feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 67, Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: o 4-r a.~~~ c~cQ ` ,t f
-Ad cr-_L rf a4 I~~~ r
Trench Spacing: ? Feet on Center
Soil Cover. _ /Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
csr ` ti° ~°Q inches total
/0 ff - ~ Pte- f x-11 r-4
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the speci6c3tionr 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 compliae 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 Agent: '"el,, Date: 6 4*'1V' t ci
Construction Authorization Expiration Date: 2/2 a f 0
HTE # 10-r- oZq G 81 Permit #
Harnett County Department of nibtic Health
Site Sketch
PROPERTY LOCATON: c: K I e✓-Q A
ISSUED TO: SUBDIVISION LOT # -7J
Authorized
State Agent: de Date: 12-
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section ~Ix~ ED:
coca:
SOLUSU21VALUATION File *
for ON,SITZ WABTRWATICR SYSTEM Code:
Owner. Applicant %
Address Date Evahated: `7
Proposed FacWtp: Design Flow (.1949): Property Size:
Location of Sites Propettq Recorded:
water 3uppit do ❑ lndlvidual ❑ Well C1 Spring C1 Other
Evaluation Method: s Auger Hotting ❑ Pit cut Type of Wastewater Sewage ❑ Industrial Process Mixed.
K
0
F
90[L JfORPHOLOoY
t
.1940
[ andaeap
Horizon
.1941
OTHER
PROFt[ 6 FAC
9
8
0"
~P~
1911 .1941
.1941
SON
1943
1
%
~
Conwdo w
Welneaaf
.
30a
Ted !4t1nnM
Color
11Y
'
.
1956
.1444 AV&
Rsd r Ctw
Hods. A LTAN
u--S
()i
j~-
Otha Factors (.1946) '
site Clawcadon (.1948)1f
Evaluated B30
Others Present C j-