IPACHTE#1O - s"Rq ?.Lr
Im rovement Permit
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION:
ISSUED T0: / c~c k,, I I t'tet:.1 SUBDIVISION f,
REPAIR ❑ LOT # NEW I l C
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J 1)
G
Proposed Wastewater System Type: Cc i't V ~ .vex
Projected Daily Flow: 0 (n(} GPD
Number of bedrooms. J Number of Occupants: L max
Basement ❑Yes lam' No
Pump Required: ❑Yes ❑ No I/ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 12 Public ❑ Well Distance from well feet
Permit valid for. L~'~e years
Permit conditions:
❑ No expiration
Authorized State Agent: GF/l, Date: `7 fat Q SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .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: 61COL r;I-Sr
PROPERTY LOCATIO : ,f'zj.
SUBDIVISION , LOT # l/ /
Facility Type: 0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** CGA JQ-A 4-0 c n S_ (Initial) Wastewater Flow: GPD
(See note below, if applicable
Harnett County Department of Public Health 26168
i!7= ~ 5d"S- "t-I ~f4 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /00 gallons Exact length of each trench /S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Wy inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
r.ti.Q
r /---,o
~.C alt Uv;r /10 `J4-:r (r
,c
,C-, I' A~J
Trench Spacing: Feet on Center
Soil Cover: 16W Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: .2 inches above pipe
inches total
L14
**If applicable: / undecrtand the Jyrtem type .rpeci~ed is different from the type rpeci6ed on the app/ication. /accept the rpecifcationr o! 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
f
Date:
cf~
Construction Authorization Expiration Date
HTE# /0 - r- ,?q ?2j- Permit # o~ 1 1, Harnett County Department of Public Health
Site ketch
j
ISSUED T0: o PROPERTY LOCATON: Tz~
SUBDIVISION z Jam ,-,'e4
Authorized State Agent- e . ~<ff Date: 7 S -9 0,/ C)
I
,o
C~ r4 1~ ro,-
Department of Environment, Health and Natural Resounxs Sheet:
Division of Environmental Health
On-Site Wastewater Section Proper ID:
Lot
SOIUSM EVALUATION File Al:
for ON-SITIS WASTIgWiATZR SYSTIM, Code:
Owner. Applicant: /
Addr+em Date Evaluated:
Proposed Facility: Design Flow (.1949}: Property Size:
Location o[ 91te; Property Rmrded:
Watts Sup*, Ik ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method; Aga Boring ❑ Pit cut
Type of Wwwwater; RSewage ❑ Industrial process t fl
P
R
O
F
30I MORPHOLooy
1
L
.1940
L a~eapo
Horizon
.1941
PRO OTHER
FtLd FAC
B
M
Posjdaal
Dpdr
.1941 .1941
1941
son
„
143
Slope %
00
sftcum l Colwdan"
webmw
soil
Ted Mtawslo
Colas
1*4 QV.
-o IG 1L T E iJI
1936
.1944 A
IU* Claw
Haas. ALTAX
lj-, e -
_r' t
napow 3YOU a Other Factors ( 1946)
site Claa,i9cadon (.1948)
valua By
Othe
P maser
7