IPACHTE# fo_ s = 21s'o5-7 Harnett County Department of Public Health 26081
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5•e_ /8o5- LJc S,~p
ISSUED TO: 10M^
c t!
SUBDIVISION
LOT #
NEW ❑ R PAIR ❑
EXPANSION
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F_ D~ s ~t .J <fo
Proposed Wastewater System Type: C
6->J
Projected Daily flow: 10 C)
GPD
Number of bedrooms: -
Number of Occupants:
,
`f '5-r nfax
Basement ❑Yes No
Pump Required: Yes ❑ No
Type of Water Supply: ❑ Community
❑ Ma a required b
Public ❑
ased on final location and elevations of facilities
Well Distance from
ll f
we
eet Permit valid for
! Five
ears
Permit conditions:
y
❑ No expiration
Authorized State A t: Date: `J'-~ZZ - 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 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 TO: a, 2,~, l~strt t PROPERTY LOCATION: 1F J)
SU ISION LOT #
Facility Type: G DF~?S~ SHa i7 ❑ New /Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? 11 Yes E No
Type of Wastewater System** _C_~2 P, .=:7-2 o~ (Initial) Wastewater Flow: f~ GPD
(See note below, if applicable
- (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size / b 6 o gallons
Pump Tank Size / o a 0 gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench /2s- feet
Trenches shali be installed on contour at a
Maximum Trench Depth of: 12 " inches
(Trench bottoms shall be level to +/-1/4"
in all directions) t
GPM Cc7 -C
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
inches total
**If applicable: / nnderstdnd the system type speci>ed is different from the type specified on the application. / accept the tpeciflcd#i fls of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use change .The Construction Aufhnrharinn <hotl do re..va wtie .k..,. ,1 , A--
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 Ag
ei~it,~ 1 ~2 / l Date: L2- - /c,)
Construction Authorization Expiration Date: g -zZ -1
HTE# /a -S- ZSOS 7 Permit # 76 0 8 k
Harnett. ('ounty Department of Public Health
Site Sketch
PROPERTY LOGITON:xZ.1805 oxe-A ~
ISSUED T0: Awe SUBDIVISION LOT #
Authorized State Ager
~ Date: 9 `u' i/6
Z -5~ ~ F >w ~
.ml
i12?
1va~
60
Z4 !
52 /f~a~✓ ~~~1~r ~~J
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot N:
SOUJSUZ EVALUATION
File b:
Code:
for ON-SI'T1E grAgT]E11yA SYSTEM,
)Fa
>e
Owner Applicant J
-
Address DaNEvaluaied:~/~
Pro
r -S
ed Facilit
'd G/30
pos
p:
DeA p Flow (.1949r M
`
Property Size:
Locadon o[ Sitar O:el8cy
proper Recofded:
water Super p P
blk p
u
IrxNdtW Weu
D spring D other
Evaluadca Method: ger Boring ❑ Pit ❑ Cut
Type of wastewater: S
ewage ❑ Industrial Process Mixe
d
P
R
O
F
SOILIMORPHOLOOY
OTHER
1
L
.1940
L
f
.1941
PROFILE PAL'tOR3
a m
ump
Hothas
1941
9
tf
Posidoel
Slope %
Depth
(Ia)
.1941
St
h
w
.1941
gait
.1443 .1956
.1941
Ptof11•
roa
o
TeMnn
cone dsm
Mtnenb
webmw
Color
soil SWO
1M Clna
React
Hatis.
CIeM
A LIAR
/
L P/0
b -
SL
s
SC-C,
CJ
SL N
.SQL r"-
G- - SL
LNI
b- k- 6;~
~L
Deaaipdou WW Rapdt sydom Other Factors (.1946)
AvdLhl# s llem Site Cla5ftatlon ( 1948)
9 as .1941
Sy" e
Site LTr1A Other, Prextt
. t