IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 3 0 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W
ISSUED TO: ev floc- .Ec7,y SUBDIVISION LOT #
NEW REPAIR ❑ E% NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'~;:0
Proposed Wastewater System Type_ C-o E N~ o nr aL,
Projected Daily Flow: at-1a GPD
Number of bedrooms: a. Number of Occupants: Li max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ' Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent:
The issuance of this permit by the Health Department in no way guarantees the e
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: \ N 1 SEE ATTACHED SITE SKETCH
of other permits. The permit holder responsible for checking with appropriate governing bodies in meeting their requirements. This
hQent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Bujldjng 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: L QQN ';~)o xcz~y PROPERTY LOCATION: ~~s Qo
SUBDIVISION LOT #
Facility Type: `JSO may' New ❑ Expansion ❑ Repair
Basement? ❑ Yes L„ No Basement Fixtures? ❑ Yes No
Type of Wastewater System' C-40 "-4 \Qr44N (Initial) Wastewater Flow: ayc) _ GPD
(See note below, if applicable
CON v E_r w sv AL (Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size L O o d gallons Exact length of each trench L10 feet Trench Spacing: 0~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. la inches
Maximum Trench Depth of. a'~ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM h b I
Conditions:
Aggregate Depth:
me es a ow pipe
a inches above pipe
1 a. inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*If applicable: /understand the system type tpeciled it dif/erent from the type .rpeciTed on the app/ication. / accept the fpecifcationr of this permit
Owner/legal Representative Signa re: Date:
This Construction Authorization is subject to revocation i Ian, pI or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subje o compliance wi a provsio La d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 1
Rc 11
Date: 1►
Construction Authorization Expiration Date:
HTE# l0 ~5 -"35003 Permit # a.~3QC'7
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON: \~C--,-, v'~~
ISSUED T0: \--'.o
t'j r"l-G.CL SUBDIVISION LOT
)vC Date:
Authorized State Agent: 6i -G 10 L) v02- ()I-Y,,
0
Department of Em mnment, Health and Natural Resoumes
Division of Environmental Health
On-Site Wastewater Section
SOI ISITZ EVALUATION
for ON-SITZ WASTEWATER SYSTE%
Owner. Applicant
Address: Date Evaluated
Proposed Fwillt)r ~Deli pFtow (.1949j: :)~ic-)~ d
Location of Site Propuv llecorded
water supply; Public ❑ Individual ❑ Well
Evaluadon Method: Auger Boring ❑ Pit ❑
Type or Wastewater: ❑ Sewage ❑ Industrial Process
Sheet
Property ID:
Lot M:
File a:
Code:
Properly Size:
❑ Spring ❑ Other
cut
Axed
P
O
P
I
1940
SOIL MORPHOLOGY
.1941
OTHER
PROFI[S FACTOR3
L
9
I mWmPm
Slope %
Hansom
Depth
00
.1941 .1941
stmettr+d Conddem
Texk n Minm1o
.194'3
Sol
weteed
Color
.1043
soil
1N
.1956
sapre
Clan
.1944
Raw
Haas.
IWO
CI M
A L?AE
n
she
ac
siro cl~e~don I94ax ~
-Evaluated By (Tv
Others Presents V