IPACHTE# t I vs-6~ Harnett County Department of Public Health
Improvement Permit 2 6 5 8 4
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: t y~ ~5~ PROPERTY LOCATION: PC3 nt O ~ osj;" Qj>
2UC-1;7k to SUBDIVISION C..ytiqai--,ayP% S-) p-t„3 LOT # ~ I
NEW REPAIR EXPA ON ❑
Type of Structure: `sue Q ~~~Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: 'L o Vcc~ cJ
Projected Daily Flow: ""Z' ® GPD
Number of bedrooms: ~ Number of Occupants: max
Basement ❑Yes No
Pump RequireL-~%es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply. ❑ Community Public ❑ Well Distance from well 1 D Q feet
Permit conditions: Permit valid for: Five years
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guar ntees t ancf
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
S 5 Date: l5` 1 ~ SEE ATTACHED SITE SKETCH
of other permits. The permit holde is resp Bible for checking with appropriate governing bodies in meeting their requirementr. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: b u 11-T tv~ 6LVGi S 0
N PROPERTY LOCATION: -4,05ncs -Q' 9-D
Facility Type: C~ '70 QS°► r?Cg-q' SUBDIVISION ConFi z_~ SEp,~ y~ LOT # C_
Basement? ❑ Yes ~ No Basement Fixtures? ❑ YYeseW /No Expansion ❑ Repair
Type of Wastewater System" p v MP `N ® CZ N-J& ,'J N-at
(See note below, if applicable (Initial) Wastewater Flow: ~(0 _GPD
u n1(' 1 rr Ce3 N-46- : • d N AL (Repair)
Installation Requirements/Conditions Number of trenches QL
Septic Tank Size ®®d gallons Exact length of each trench _'1 Pump Tank Size ►o Ca4 gallons feet Trench Spacing: ~ Feet on Center
$ Trenches shall be installed on contour at a Soil Cover: Sinches
Maximum Trench Depth of: W -2L'i 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 pipe
Conditions: Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
'If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Repres ature:
This Construction Authorization is subject to revocation ' site plan, pat, or the intended use changes. The Construction Authorization shall not be transferred when Dereeis a change in ownership of the site. This
Construction Authorization i ect pliance with rove th s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ¢LNS
Date:
Constru Authorization Expiration Date:) } b
HTE#
Permit # 2-C tg,% L}
Harnett County Department of Public l[lealth
Site Sketch
ISSUED T0: ~G~; ~j U ~L PROPERTY LOCATON: Qo~n .ps g
~ '3S ~2VC,~1 ~*J SUBDIVISION ~.~o N S
LOT #
Authorized State Agent:
71T ~10'DO)V-Date:
L00
_J r, S
Department of Environment, Health and Natural Resources Shea:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot 0:
File
od i1:
SOujs TE EVALUATION C
for Olt-SITE WASTEWATER. SYSTEM Code:
Owner
Applicant:
Address.
Pro
d F
cilit
Date Evaluated:
L
pose
a
y:
"k)" O Desjgtt Flow (.1949): 1-~ F
p
r0perh Size:
Locadom of Sihr.
Property
WatetSuo*., n, gc ❑ Individual ❑ Well
Evaluadon Method: --A-A
B
i
❑ Spring
uger
or
ng ❑ Pit .
Cut
Type of Wastewater: 'Sewage ❑ Industrial Process 13
Mixed
P
R
O
7
@
1
901L MORPHOLOGY
L
j
j .19
41
-
PROF" FACTC
A
,1941 Dvtb
.1941 .1941
sa
149
ncNrr cort
T°xtun MieatIOU Color
sou
QV
.
• - v.u~ raywti (.l rw~C . .
Site CluMcatiou (.1948k --5
aS a Evaluated By:
Others Prexnt:
r
❑ Other
.1956 .1941 ftmi
SAPM Rratr Cfw
Clan Hats._ _ALTu