IPACHTE# ZO-,5--- ayFVz Harnett County Department of Public Health 26181
Improvement Permit
A building permit cannot be issued with only an~ Improvement Permit n
PROPERTY LOCATION: q-t-C6r-4, xcp.
ISSUED TO: 3-0 lk rt 1 &at SUBDIVISION LOT #
NEW Z?' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c~
Proposed Wastewater System Type: cc
Projected Daily Flow: GPD
Number of bedrooms: -7 Number of Occupants: max
Basement ❑Yes 1i0
Pump Required: ❑Yes L2*No ❑ MMa~e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lid" Public ❑ Well Distance from well feet Permit valid for [R-five years
Permit conditions: ❑ No expiration
A
Authorized State Agent:: 1~ ~,:~lff Date: f 2c1 c+ SEE ATTACHED SITE SKETCH
The issuance of this permit by e Health Department it o 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: G< PROPERTY LOCATION: ~o-, rQC
`t / SUBDIVISION LOT #
Facility Type: K 2 -New ❑ Expansion ❑ Repair
Basement? ❑ Yes ER/No Basement Fixpres? s ❑ No
Type of Wastewater System" 0, X, /CA - (Initial) Wastewater Flow: & ~ GPD
(See note below, if applicable
Gcn ✓e~-~-`~ ~zt~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C? inches
Maximum Trench Depth of. le -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 pipe
/ p Aggregate Depth: inches above pipe
Conditigns, uw. dre". ~~"ef Qri C-C'L4V'-; a v t r o <
a • h 1~ inches total
o !-c c.:- c_A, r l ~J <I' ,.tv 4 c ~eeJ~ ~0
it, C / Y / k,.-
'If applicable: / understand the system ON specified is different from the type specified on the app/ication. / accept the spec111cvonr 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 Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent/ Date:
Construction Authorization Expiration Date: f..'
HTE# _ZG- Permit # o - (I I F(
Harnett County Department of Public Health
Site Sketch
-t p PROPERTY IOCATON: >~-rroe ew
ISSUED T0: G - 1)c < SUBDIVISION
Authorized State Agent: l'f Date:
1
LOT #
J, /ac / C',
Tl (
k,44 & fc-lc
Department of Emimnmmt. Health and Natural Resources Sheet:
Division of EaviromumW Health
On-Site Wastewater Section PopcM ID:
Lot Y:
SOMSM (EVALUATION File M:
for OZw. ITE Code:
WASTEWATER SYSTEM-
Owner: Applicant: 1 /)-q, Address: Date Evaluated: o
Proposed Facility; Design Flow (.1949): Pttigerty Size:
Location of Site Propertyr Recorded:
Water guppy; [ fie ❑ Individual ❑ Wet! ❑ Spring
Evaluation Method: Boring ❑ Pit . cut
Type of wasw titer: I.~ Sewage ❑ Industrial Protest Mixed
P
it
0
P SOCL IMORPHOtAOY
t 1940 .1941 FROM OTHER
FACT(
L [,~ndewp Horizos
E Paeitlael Dpth sod
A Slop. x (IM) .1941 .1941 soil 43
Stud" Coudetem wetneel .144
Terdmt Mtnenio Coto sod
IN
~-f~
❑ Other
1956 .1944 PM&
Re* Ctar
:ter Horis. AiLTAM
119'r •
c~
_ W_ . -.WN
site---
ite C1 Wcadou (.1948k
c ✓ Evaluated B)r
< - Others Prem* /.v