IPACHTE#..l15-s"-Z6"58Z Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: IN i 2 4A¢ /2"D
ISSUED T0: .Z2C SUBDIVISION T- LOT # A
NEW 2' REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Zt v
Projected Daily flow: 3I20 GPD
Number of bedrooms: g- Number of Occupants: max
Basement ❑Ye_s / L!1 No
Pump Required: Q s ❑ No ❑~Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L" Public ❑ Well Distance from well feet Permit valid for: Z -Five years
Permit conditions: ❑ No expiration
Authorized State Ag ttt~ Date: <-7 - 0 SEE ATTACHED SITE SKETCH
The issuance of this permit b '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 TO: ;CV-- PROPERTY LOCATION: 1402.
SUBDIVISION 6'r;L ~ T~= LOT 7
Facility Type: iJ 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2' No Basement Fixtures? ❑ Yes C7 No
Type of Wastewater System** r t~r J` 'e2i LF24)J (Initial) Wastewater Flow: 34~- GPD
(See note below, if applicable
&M~ y4
CS:% , . a0Z.iz0epair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size /00-0 gallons Exact length of each trench F J feet
Pump Tank Size /dt10 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1P., inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
L inches above pipe
f 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:
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 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 t: - -n--r ` Date: t t- /-7 -/J
Construction Authorization Expiration Date: tt- t -7 °l6
HTE# /0' - Z5'5- 2- Permit # :2160,;U
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATONL5C/z//Z. ae,y _ /fS/ )F-b
ISSUED T0: * -v G SUBDIVISION -rJt¢~~"7:t o••~~ -LOT # 7
Authorized State Ager3-- ,3 Date:
s~ zf3'
TZ'
>1 v
79°
KrwM f1 n3 v%
Department of Emironment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM-
Owner. Applicant:
Addrew. Date Evaluated: ~z
Proposed Facility: Design Flow (.1949):3
Location of Sits Property Recorded:
watts Supply; c ❑ Individual ❑ Well
Evaluation Method: ger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Industrial Pmcess ❑
Sheet:
Property ID:
Lot
File
Code:
Propertp Size:
❑ Spring ❑ Other
mixed
P
It
O
F
SOIL M "HOLOOY
OTHER
1
L
.1940
L
d
.1941
PAOFtLB FAQ(: iOA3
an
scape
Horizon
1941
9
A
Posidad
Slope's
Depth
00
.1941
str
W
.1941
soil 143
I956 .1941
Profile
uchu
Consietme
Wdned soil
sapro Re*
Cho
Texdun
Nb7MIO
Color IN
CIA" Hans.
R LTAX
m~
136 *L5 e -rt_ z- '7, L Y
Dnaipdoq 1ni W Repok syrte~s Other Fectom (.19462
Availa6l®9 Ma .1945 9 dam site Claw eEvsadon hm (.ed B1948y:~j
s mtets s r
Site LTAR Others Presetlh