IPACHTE#_/0 -5- 2qI Harnett County Department of Public Health 2 6 0 7 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.AZ 1437 H441A_
ISSUED TO- SUBDIVISION ~?z a e~,iz LOT # _I
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F
Proposed Wastewater System Type: ri 4r.),= -0 -M 7,5-016 th-b 1
Projected Daily Flow: 3 11E1~0 GPD
Number of bedrooms: - Number of Occupants: _ max
Basement ❑Yes C No
Pump Required: L1Yes ❑ No ❑ M y be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 66/Five years
Permit conditions: ❑ No expiration
Authorized State Date: 8-21{-10 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 a 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: _'S4xa Got _ /~'d~• D r).__ x-c. PROPERTY LOCATION: 51Z IV37 a,11a7tX F4)
SUBDIVISION LOT #
Facility Type: 5 F 5d/New Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes I!I No
Type of Wastewater System** acs Z$We TlED DU7.y)J 41, (Initial) Wastewater Flow: 36U GPD
(See note below, if applicable
MW_-Jee Z5% JP~~u~J (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size f b t c) gallons
Pump Tank Size /baV gallons
Z` %Zt1SCL 4(D vAJE)es
Pump Requirements: ft. TDH vs. _
Conditions: S 4_-'P bo-t3.~) S 0
Exact length of each trench /Zc> feet
Trenches shali be installed on contour at a
Maximum Trench Depth of Z 1 r t inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
'a r
inches below pipe
Depth: Z inches above pipe
/1- inches total
**If applicable: / understand the ryrtem type ,rpeci6ed if different from the type fpecifled on the app/ication. / accept the specif1cationr of this permit
Owner/Legal Representative Signature: Date:
iuu wnxwwm~ nuwm¢aumi a wuteu w ievaeuan n me sire plan, pia[, or me imenaea use changes. ine Lonstruchon Autnonzation shaJI not he 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
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Authorized State A Date: Q- ZH - z v
t: Constructon Authorization Expiration Date: 6- zN - co
HTE# /D-5 2 f 5 /L Permit # Z66 -7 Z
Harnett County Department of I1iiblic Health
Site Sketch
PROPERTY LOCATON: -rot /YS ? /l,D
ISSUED TO: e c%t ~j1 .a~ c•c~ SUBDIVISION LOT #
Authorized State Aged Date: S- Z1f / a
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Department of Ew rvnment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOEJSM &VALUATION
for Off-SITE WASTXWATLit 9YSTIM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant: -4+ L--1-
Addrew Date Evaluated: 9-/8-Z0-/0
Proposed Facility: S r-~ DeAp F1dw (.1949Y 5&6 Property Size:
Locadon of Sites Proparrjr Recorded: . *
Watch 3upplyt 014110 ❑ Individual [I Well ❑ Spring C] Other
Evacuation Method: R)Tuger Boring [I Pit ❑ Cut
Type o[ V1 utewater: Sewage ❑ Industrial Procxsa mixed
P
It
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F
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MORPHOL00Y
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1941
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i s" I L I r• H I I f -
Ma Factors (.19462
Site Cluftation (.1948k ? S
Evaluated By Others Premit