IPACHTE# io -.5"- 2T&63 Harnett County Department o Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
s~ PROPERTY LOCATION: --VZZ I 1X44A:F
ISSUED TO: 7,Ft'If%~cs>J aus(d ~+2 s T.y SUBDIVISION e cl/f.,so l ~ LOT # 33_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~5 t=1)
Proposed Wastewater System Type: 25/6, (Zjft UCS4s),~ 1' .
Projected Daily Flow: CD GPD
Number of bedrooms: .3 Number of Occupants: lta max
Basement ❑Yess 21o
~
Pump Required: QYes ❑ No Z May~e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I~ Public ❑ Well Distance from well feet Permit valid for: Rr Five years
Permit conditions: ❑ No expiration
Authorized State A rat - rJ,tS Date: !l Zy- /,`s SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 TO: 45o.y ~ PROPERTY LOCATION: .:5,t /4(7Ae v-,e, 7 V1,a rsJ
/ SUBDIVISION ~7 h arm,-) /21z ~ LOT # 33
Facility Type: 3FFb Q New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** L`&,r G , Z5°/zs(1 (Initial) Wastewater Flow: 3(.e-') GPD
(See note below, if applicable
/~Aeg' 4n ?rl6 2/c,6U c us- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size _/6> QFD gallons Exact length of each trench 90 feet
Pump Tank Size 1 y 6 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: '7 Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
It Aggregate Depth: inches above pip(
Conditions: Jlr7CH D~-P77~S - 5~T inches total
**If applicable: /understand the system type specifed is different from the type specified on the app/ication. /accept the specipcations 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 Age Date: I l - ZY - I y
Construction Authorization Expiration Date: tI --Zq--L6
FITE# /D -5--zs-603 Permit # 2& 0i7
Harnett County ]Department of 11-iblic Health
Site Sketch
PROPERTY LOCATON:,-T6 &.5
ISSUED TO: 37 e 14-6,, ~ 13 d r-( ® f/$5 Tt,)cC SUBDIVISION ~Z-hW5;~o -s LOT # 3 3
Authorized State Agen': 1 Date: 11,74-16
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOQJSITE EVALUATION Co
far ON-S1TZ WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: tf- 0 D
Proposed Facilitp: er-VD Design Flow (.1949): 3~.o Property Size:
Location of Sits: Property Recorded:
Watts S'uppfy: ater e' ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Boring ❑ Pit Cl c
Type of Wastewater: ❑ Sewage ❑ Industrial Process Mixed
P
it
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PROFUZ FACTOR3
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a
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Positiad
Stops 9t.
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Depth
(In)
,1941
st
W
.1941
.1942
soil
143
.1936
.19M
Pronto
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Texture
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DeeariPtian
tnitiai Repair Small Other Factors 1946k
s °te~
Av
eitr6le 9 400 .1943
Site Classification (.1948):-6
s steps Typo
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Evaluated B)r
Site LIAR
z 4
7
Others Present: