IPACHTE# I(�—s 4v34I Harnett County Department of Public Health 29289
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FZcI .
ISSUED TQ 2G�JZrb $.all;�c1A SUBDIVISION iaE�c L csl� s/D LOT #
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: U 3 P— 5< D
Proposed Wastewater System Type: 2 s a.1..ci :5 sFe-
Projected Daily flow: 4 8 r. GPD
Number of bedrooms: 4— Number of Occupants: '8 max
Basement ❑Yes WN0
Pump Required: []Yes
❑ No
f3 Mbe required based on final location and elevations of facilities
Type of Water Supply:
❑ Communityf+3'
Public ❑ Well Distance from well feet
Permit valid for. 2r -Five years
Permit conditions:
— —
❑ No expiration
Authorized State Agra Date: /— �/ ��_ SEE ATTACHED SITE SKETCH
The issuance of this permit by theA� Department in no way guarantees the issuance of other permits. The permit holder is responsible for deeding with appropriate governing bodies in meeting their requirements. This
site is subject ro revootion i( th a 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 :object 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 FOR. Systems shall be installed in acorduce
with the attached system layout.
ISSUED TO: CL 6 b Cr-}- S v 111 vC-si-\ PROPERTY LOCATION: (X1 c. d, e 0144 � !1 � 5(L /t./0
—/ SUBDIVISION (Lr�aFo A Bt. Var s f a LOT # f t.
Facility Type: Q R— S r9 L/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes VNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System*" -<"O Red 0a 'D n S , a1., l (Initial) Wastewater Flow:yP0 GPD
(See note below, if applicable ❑)
25%u IfCd.aCJI, ;ten SZ -4 Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size toca t7-1,0 gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Exact length of each trench 66 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 20 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Trench Spacing: 5' Feet on (enter
Soil (over. g inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: pcsae—c oLk 5t51en cw.A'C-CJK�c—c1reA'•
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
f inches total
'"If applicable: / understand the syrtem type tpeciled it different from the type rpeciled on the application. / accept the rpecibcationr 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 Authoneation 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 AI IACHEU SITE SKETCH
Authorized State Agent: ��� Z /i'a-�' Date: 7
Construction Authorization Expiration Date:
HTE#
- S- q0 3+) Permit # Z q a- Xy
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: O'a'Vr,AAZ— D. r e A 21 (5tz
ISSUED TO: 2 o\o,4 c - S.,11:\xAn // SUBDIVISION R a e ford 5/0 LOT #
Authorized State A t� Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
<; it -e
Owner: G ,.t Applicant: (L� S.\ I,
ProdresedFacili U, 11, fi4 0- 11--, Date Evaluated: 1 Zr 1 4 / 16
Location of Site Rue� ,3, 5 FD Design Flow (.1949): y&' S°,t /,4
pi 6c 4 Property Recorded:y'z� 7
Water Supply: Public❑ Individual
Evaluation Method:[ 4u$erg�ng ❑Well
Type of Wastewater: ❑ pit ❑ Cut
'
"'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: /.
❑ Spring ❑ Other
❑ Mixed