IPACHTE# io - 5- -,Z5S,,?8 Harnett County Department of Public Health 2 0 8 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
- > PROPERTY LOCATION;fyZt~~~ 2'D
ISSUED TO: / s SUBDIVISION y~K~Z LOT # _/3
NEW [k" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: S°
Projected Daily Flow: 36o GPD
Number of bedrooms: - 3 Number of Occupants: max
Basement ❑Yes E?r NNo Z
Pump Required: ❑Yes I~ No ❑2" Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
/Five years
❑ No expiration
Authorized State A~ tt•.: Z /y( 3 Date: /b -,f Z. /Q 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 4 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: n11~"' l ,rte/.~ PROPERTY LOCATION: /YL:2 l~
SUBDIVISION _7jrX 2 LOT # /-5
Facility Type: I A--A_ I/New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes No
Type of Wastewater System** 25%17 'jc,c ~ ~itcr 11 (Initial) Wastewater Flow: 3C-D GPD
(See note below, if applicable
epair)
Installation Requirements/Conditions Number o trenches 15
Septic Tank Size /ooo gallons Exact length of each trench go feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2-0 1BP' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 2 Feet on Center
Soil Cover: 6, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
41 inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: ~5 C'-f~ i,~n► r'hst-v, e~ ,~,Z~ / Z. inches total
**If applicable: /understand the system type specified is different from the type specified on the app/ication. /accept the specifications of this permit
Owner/Legal Representative Signature: Date:
-J- 'o a wt runt pima, piai, or me mienoeo use oranges, the tnstructon Aumonzatton 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 Age A'4.~=~ 9 - 1116~' Date: /y - /7--
Construction Authorization Expiration Date: a 2--/5-
253Z 0
HTE# /0- 5 - ~751Z8 Permit #
Harnett County Department of J'nblic Health
Site Sketch
PROPERTY LOCATON: ~iy~7 /Zeve%s jf)
ISSUED TO: Flo ~f A-/S/5- SUBDIVISION Kids LOT # _
Authorized State Ag t: Date: --/C- /Z- c-)
0
W 1}riF ~C_ c > G -40 13
c~-
Department of Environment. Health and Natural Resources Sheet:
Division of FxMmnrnenW Health Property ID:
On-Site Wastewater Secdon Lot a:
Fila
SOEUSTM &VALUATION Code:
for ON-SITE WAsT)l WATER SY5TEX
Owner. Applicant:
Addresm Date Eva[ttated:
Proposed Facaiitr Ate-7j Desigp Ftow (.1949Y 3y d Property Size:
Location at Sitz Fropaty Recorded:
w
ter Sn
C
C3
a
pp
r
Pubt p Individual ❑ wen D spring
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❑ other
Evaluation Malhod: [
Auger Boring ❑ Pit C~
Type omestawater ewage ❑ Industrial Process Mb"
P
R
O
F
SOIL MORPHOLOGY OTHER
1
.1940
.1441 PROFILE lrLGTOA3
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La Wm ape
Haizos
1943
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1941 .1941 Soil .1943
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.1936
.1944
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uc
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3 L. ~ e -e8" 8c
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Availably 9 p .1943
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