IPACHTE# /a -~S--ZS-1sl Harnett County Department of Public Health 2 6 0 7 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION://S-,? q /
ISSUED T0- 74SUBDIVISION /~c+¢/f E,✓, s LOT #
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ MO.410 tip
Proposed Wastewater System Type:
Projected Daily Flow: Xc> GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: ❑Yes No ❑ MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E Public ❑ Well Distance from well feet Permit valid for t~ Five rears
Permit conditions: ❑ No expiration
Authorized State Age Date: /Y GCS 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 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, .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 T0: PROPERTY LOCATION:JG/~U5l 2;2'/A-4,j 46
SUBDIVISION __.us~ /~,✓LS LOT #
Facility Type: CY New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes IJ No
Type of Wastewater System" Z5°Jn /-46-kr)e (Initial) Wastewater flow: .mot GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches 3 *c 14
Septic Tank Size 16 c) gallons Exact length of each trench j;6 - Gb feet
Pump Tank Size gallons Trenches shali be installed on contour at a
9 ti
Maximum Trench Depth of-
/P, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 'I Feet on (enter
Soil Cover: -L::4:--inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified it different from the type specified on the app/ication. / accept the fpeciflcationr of this permit.
Owner/Legal Representative Signature: Date:
This Cnmmirtinn dnthnruntinn is anhin~t t~ .o,,,,.,,,,,,, a .6,..;.,, i.- _i_. a.- I . . . .
, ' - r•° r- - '°..,,..1.." "'-6- nm -nouu"umi numuncamun span nor De transierrea when mere is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Caws and Rules for Sewage Treatment and nimoul and m the rnnditi- „t thi< --a CC[ ATTAfurn (iT[ CVrTru
Authorized State A g Date:
Construction Authorization Expiration Date:' /Y
HTE# !o - s- Zf J s- J Permit # a60 7e
Harnett County Department of 1- ~iblic Health.
Site Sketch
PROPERTY LOCATON:,~< /say Bo1r'k S ,2.b
ISSUED TO: SUBDIVISION # )NSS LOT # S
Authorized State A96E~ Date: q`y 16
d
~ /z a'S—'? r ~t - /in
Department of Environment
Health and Natural Resources
,
Division of Environmental Health
Sheet:
sheet
On-Site Wastewater Section
Property
ID:
Lot Y:
S01USM EVALUATION
File il:
Code:
for Old-S1Tlc WASTEWATim SY9' m
Owner. Applicant:
Address Date Evaluated:
PmpwW Facilitrr. /,167b Design Ft*W (.1949}: a,,o
Property Size:
Location of Sitar ~ r Pmperl~r Recorded:
S-U
it
[3 0
pp
a ❑ Individual ❑
-
Well
El Spring
❑ Other
Evaluation Me
thod: Auger Boring [I Pit
Type of Wastewater: S
T-
.
] cut
ewage ❑ Industrial Process
MLt
[
ett
P
R
O
F SOIL MORPHOLOGY
O TM
1 .1940 .1941
L Laduap Haeizos
PROFtt g PACTORR
B Posidod
aPM .1941 .1941
M Stopr % (la) st
mw
.1943
soil
.1$43
.1916
ua
cmwdom
Tomm Mtenb
Webmw
Color
soil
IIY.
Sryrs
Clue
1 L
19,
SL
i8
t
~
L-
[16 -yi? L /sue "n'
!rX.- Nd N/~
umar Factors (.1946) -
Site Classification (.1948)
Evaluated others Preaer~~
.1944 PboAl•
Re* CIiM
Hods. A LTAII
~y