IPACHTE# -S°-zs'5'a Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:--5W /1/-J Z. / dyJ fW
ISSUED TO- T~ SUBDIVISION LOT # CZ_
NEW REPAIR ❑ _ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: SS 016 ZC-J U CJZd~ S~ ~ri:~t
Projected Daily Flow: 366 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No l r' M be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
51/rive years
❑ No expiration
Authorized State Age Date: //-/l - /y SEE ATTACHED SITE SKETCH
The issuance of this pern the 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 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 T0: PROPERTY LOCATION: J'V615152- ell5z' 1. 116
/ SUBDIVISION LOT # az
Facility Type: 19 New V Expansion ❑ Repair
Basement? ❑ Yes Li" No Basement Fixtures? ❑ Yes Lvt No
Type of Wastewater System** 21%~/~ucrz (Initial) Wastewater Flow:Z&O GPD
(See note below, if applicable
x4 ~ epair)
Installation Requirements/Conditions Number/of trenches 7-
Septic Tank Size /000 gallons Exact length of each trench /.5-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: - inches
Maximum Trench Depth of: z 4 "nches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
_ inches below pipe
2- inches above pipe
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:
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 nwnershin of the cite Thic
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 Date: / 4' 0
Construction Authorization Expiration Date: //-1 to -/s
HTE# Zr53D Permit # -c2,~e b 2' Z
Harnett County Department of lAiblie Health
Site Sketch
PROPERTY LOCATOkSIZIY3Z 1t 1664-,3 6
ISSUED T0: t rY3-...- ,te y SUBDIVISION LOT # C-Z-
Authorized State Ageo~' Date:
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Department of Ewaromnenk Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSYTE EVALUATION
for ON-SITE WASTEWATER SYSTEM,
Owner: Applicant: 14-..
Address: Date Evaluated: //-/o o
Proposed Facility: Design Flaw (.1949):,46
Location of Site: snt1171, Property Recorded
Water Supply; liC ❑ Individual ❑ Weq
Evaluation Method: ~ger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot M:
File *
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
P
R
O
F
1
1940
Oa. MORPHOLOGY
.1941
THER
PROFU FACTORS
L
9
9
i.uwmm
Poeidod
Slops %
Horizon
Depth
(1a)
.1941 .1941
SMucturd Comidmv
Torduor. MtnRala
1941
Sail
Wet""d
Color
-1943 .1956
Soil 3apro
tN. Claw
.1944
Rear
Harts.
Promi
Ow
A LTAX
L 0-11r
[)L
e- I
-z
-3
Site 0933i8cadon (.1948k
Evaluated By
Others P"mme