IPACH T E # lo-~ a~ g0. Harnett County Department of Public Health 26140
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N1 `^t 6 s7
ISSUED TO: if k'4 Co Nt; S 2v Cc \ 0 41111 SUBDIVISION rJG~, , ~ax,, 1EL LOT # 11.3
NEW REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (.DS x4C
Proposed Wastewater System Type: S°~n REavcsS~ ovs SysTE M
Projected Daily flow: 3 E, O GPD
Number of bedrooms: 3 Number of Occupants: 4- max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well lbd feet Permit valid for. Five years
Permit conditions:` ❑ No expiration
Authorized State Agent.: Date: G30l 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the imu o ther permits. The permit holder~is res nsible 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, .19SS, AM, .1957, .19% 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: V-Y Corrs,~ ct,\j N PROPERTY LOCATION: a.7 e
o ~ N~~ LOT # ~l3
5'FO ~.`~S x ~-!S~ SUBDIVISION Ti- J~IL
Facility TvDe: \rSd' Now n n e-;,
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes 1 No
Type of Wastewater System" QL°/o RsOU CC s 0 " Sys-5 15-,4N (Initial) Wastewater Flow: 36 b GPD
(See note below, if applicable
al-S°le REo vc.- v q rJ 5~5 a'E. M (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 140 ,5 gallons Exact length of each trench 1'84 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 N inches (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 inches below i e
Conditions: 0o eJ o a
`~L~ C''swFct.
N % ~tl_ Wt1
~~LD M SF-P-, , G S-1
PP
Aggregate Depth: inches above pipe
" inches total
Q~~l~ Ps~C--fl o~1 ~QcLpQC7s.D.t.., torn ~PPL`-C-catsy` So~1_ S<-~ENTtS"C
"If applicable: /understand the system type pecified is diKerent from the type specified on the app/icatioo. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo f the site pla L"la( 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 sj"ct to compliance the pws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C 30
Constru Authorization Expiration Date: G <
HTE #
I, c) 5- }f-R Permit #
Harnett County Department of 1' iblic Health
Site ketch
PROPERTY LOCATON: G`t `~GsT
ISSUED T0: ~yK N ~'c a SUBDIVISION ~Nc,E 4~,vcG LOT # l)3
Authorized State Agent: WLl-46LToL~sS~ot~ Date:
9.O d
26OLY-T t 0 N
C)a
-5 !n
36~
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Department of Environment, Health and Natural Resources
Shed:
Division of Environments! Health
On-Site Wastewater Section
Property
Lot
SOIUSITE EVALUATION
File
Code:
for ON-81TZ WASTEWA'T'ER SYSTEM
owner. Applicant:
Address Date Evaluated:
Proposed FSdht)r 3 Dplge Flow (.1949): -6e
Frvpertq Size
Location d Site: Propectlr Recorded:
Water Sup*" POW ❑ Individual ❑ Well
Cl spring ❑ other
Evahmdon Method: Auger Boring ❑ pit
Type of Watawater: S
❑
cut
ewage
Industrial ftun
mbwdt
P
R
O
F SOIL INtORPHOLOOY
OTHE
1 .1940 .1941
L I anch" Harhm
R
PROFiLII FrLITiOR3
1941
a Poridod DqA .1941 .1941 3011
M Slops % 00 Sb
W
143 .1916
um
Conddom Webmw
Text, 'UhWak Cola
soil 3epro
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Site ClasiHcadou (.194i* ~,5
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.1944 f4otgi
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