IPACHTE# /6Js=0, Y1/9 0 Harnett County Department of Public Health 2 61 5 2
Improvement Permit
A building permit cannot be issued with only an Im rovemen~~ Permit t /
) PROPERTY LOCATION: /yI `J t- c F. ~c
ISSUED TO: t~~r e IVI c~ SUBDIVISION s~ a ~a I~A c- 9!,~ LOT # 2
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: A 9 /Y X 7 0
Proposed Wastewater System Type: ~oA VZf • Z. s -
Projected Daily Flow: c~-q C' GPD
Number of bedrooms: 12-- Number of Occupants: max
Basement ❑Yes L_lXNo
Pump Required: ❑Yes ❑ No 2r"hay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2~Public ❑ Well Distance from well feet Permit valid for. 21-five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~,~s~-- /`t %w ~ ~ fCC ff/ Date: 6 G/0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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, .1957, .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: PROPERTY LOCATION:
SUBDIVISION S0 ~•r~: { ~f o LOT # a
Facility Type: 4 Lit New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" C0 «t Q'T -CJ- (Initial) Wastewater Flow: o? GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches _1~ _
Septic Tank Size 1000 gallons Exact length of each trench /CO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: + -3- Gott t ~ S".-
"A G ! Qk " l ter f /~l ls_r ~C G~~
Trench
Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
47inches total
' cr.,
-If applicable: / un erstand the system type speciled is different from the type speciled on the app/ication. / accept the specilcations 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
wiouuumn Hmumicauun a 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 Agen Date: 6 r2-l c
Construction Authorization Expiration Date: .2cfr
HTE# ZO-r dyq~u Permit #
Harnett County Department of Public Health
Site Sketch
j PROPERTY LOCATON: / C)
ISSUED T0: ha~~er`c r~ SUBDIVISION `1Ca LOT #
Authorized State Agent: Date:
Ste` i~ ~
r
~ Q
Csr f
r
~J
~ ~7
Department of Em mnn=k Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOII./S1T>Z &VALUATION
for ON-81TIS WASTZWATzR SYSTEM
Owner: Applicant: (Zr v
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Lomdott of Site: Property- Recorded:
Water 3uppljr He ❑ Individual ❑ Well
r Bori
Evatuadon Method: ille=
ng ❑ Plt Type of Wastewater: Sge C1 Industrial Process
Sheet:
Property ID:
Lot N:
File:
Code:
Property Size:
❑ Spring ❑ Other
cut
MWA
P
R
O
P
1
1940
OIL ItORPHOL00Y
.1941
THER
PROFILE FAC fORs
E
M
Poei
~p
Slgm %
Horizon
D"A
(in.)
.1941 .1941
Shueft" Consigam
Texture M1nmb
1942
son
WetmW
Color
.144 .1956
son SWM
(IN.) City
.1944
Redr
Haas.
PMM
clam
ALTAR
6-P
Wa
~1 ~
~ ~1Z/ ~~lh
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*LT xapnr ~yttam Other Factors (.1946)
Site C1as iEcation (.1948) E~
valum B)r
~ ti .Others Prexnt: r~