IPACHTE#14, - Z ~ Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
/Y~~
ISSUED TO: CrJ /~dYs TAG SUBDIVISION STS ?33 LOT # GPs
NEW 1~r' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~-- b
Proposed Wastewater System Type:
Projected Daily Flow: Z-66 GPD
Number of bedrooms: _ Number of Occupants: (a max
Basement ❑Yes 240
Pump Required: ❑Yes ❑ No Q-M,aL be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Id Five years
❑ No expiration
Authorized State Agent,_ Date: /I- 2 -3 s/4) SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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: Crf L~ hgy~5 'zoL PROPERTY LOCATION: - IMS mssiZb
SUBDIVISION STE~5~1J LOT # 3_
Facility Type: S ► EZ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ZNo
Type of Wastewater System** 0916 U DU 00581 (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
_7-S?'4 2Gdyc'7P3 z;~'(Repair)
Installation Requirements/Conditions Number of trenches `Y
Septic Tank Size /6®a gallons Exact length of each trench (~2 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. -40 & inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: ~P inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
ly inches below pipe
Z inches above pipe
inches total
**If applicable: / understand the system type speciped is different from the type speciped on the application. / accept the specircations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is n rhanoe in nwnarchin of the cite Thit
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
. `sue s~U~U ~
Authorized State Agent:' Date: / f - z 3 - i o
Construction Authorization Expiration Date: fJ - 2 3 - r s_'
HTE# 4Q 25 S 93 Permit # Z&6 9 5
arnett (county Department of Public Health
Site Sketch
PROPERTY LOCATON;.s,9/" /✓Ii LS
ISSUED T0: SUBDIVISION LOT #_38
Authorized State Ages Date: ri - z - rJ
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIIJSITg EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Appticaut:
Address: Date Evaluated:
Proposed Facility: 5r--~ Design Fldw (.1949): ° Property Size:
Locatiom of Site: s i - Property 1(mrded: 3
Watet Suppty: [~Pubt3C ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: a4uger Boring ❑ Pit Cut
Type of Wastewater. Q-sedge ❑ Industrial process mixed
P
R
O
F
SOIL NORPHOLOOY
OAR
t
L
.1940
L
A
H
.1441
PRaFR.B FAATOR9
9
a
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Politico/
Slope 7tt
aei2oa
Depth
(ta)
S
.1941 .1941
h
h
w
1941
Soil
19 3 .1956
.194+
Prvflt®
uc
o
ColWdeko
Ta;m m Niaerelo
wetand
Color
soil Sepre
IN
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ctus
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taitiel
Repair syet es
Other Factors (,1946k
AvaiLbi®9 sa
,1 945
s °t014
Site ClauiHcatton (,1948k P`J
s aloe ®
Evaluated By
Site LTAR
d
_ Othes Premat: