IPACHTE# Harnett County Department of Public Health 261 41
(marovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 2).'l-'-4 Es 1
ISSUED TO: C O'yw uG LO w SUBDIVISION 1 s w 6~ +v a-, ATE LOT # 100
NEWX REPAIR p JANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFfl Cnd xrod
Proposed Wastewater System Type: ~°/o QPS V0w
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No 'X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit conditions:`"- \ ❑ No expiration
Authorized State Agent:: R,E
The issuance of this permit by the Health Department in no way guarantees the issua
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 Date: 36 t0 SEE ATTACHED SITE SKETCH
other permits. The permit holder tis resdnsible for checking with appropriate governing bodies in meeting their requirements. This
tent 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, .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: \IJy^rN "~~2vc-SXON
Facility Type: S'FflC6(jx60), New
Basement? ❑ Yes _-:1!5, No
Type of Wastewater System** _
(See note below, if applicable
Basement Fixtures? ❑ Yes
Q. S'/ e, ~EDUG'S I V N
PROPERTY LOCATION: a, G~ t
SUBDIVISION 1 t i G E ►.t ~o NTG LOT # loo
❑ Expansion ❑ Repair
~No
(Initial) Wastewater Flow: ~4 C)' GPD
2,~°!a oyL-s s e &-n-(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t,ood gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. l a
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
feet Trench Spacing: 41 Feet on Center
Soil Cover: ~nches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
b_" Depth: inches above pipe
Conditions: 06 V: Tt F-s-c-v 6'% Hj So I o ug"%'UG \A
A.tJi~ Gti C P 2~ n, ~ inches total
I~GOt`r,~n~.NC~~~. Sot r_ ~~.PT}i~a ~ ~~-7~~Ep gel ~PPL~~.~A>`rTS So~irJcr.6r.,5~5~ c2~C
Ve1 16U-7- e0 'I"l11-.O'n oF- (Z t GF C"GrL NCF_U60 ~vC32 ~eLPs\IJ~16 tJ.awT~.~,a k'L
**If applicable: /understand the system type speciled is diNerent /tom the type rpeciled on the app/ication. / accept the .rpecilcationr of thin permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is su j evocation 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 is2ct to complia rt ovis of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Q-611415 Date: 30 l0
Co uction Authorization Expiration Date: 630
HTE# lC~'S' 5`t4 Permit # '4 ~q
Harnett Connty Department of 1'ublic Health
Site Sketch
PROPERTY LOCATON: W-) Wc~
ISSUED T0: y trq NS q>j Li ~Ot~l SUBDIVISION ti N(e~N Qo)--f& LOT # C_
Authorized State Agent: oi~c s~oS Date: 3 d t b
2-1-4-Cl11
2 PN
I cwt'
2
J
6
J i
\^lF~S~ 1>rJ` G p,LL crvtCJ UT IL,%TtE.s Mvst ~E rrcLC~r~ SEP~~L Sy~~E''r1
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health ape
On-Site Wastewater Section Lot Property
SOJJJSM EVALUATION File
Code:
for ON SITE WASTEWATER SYSTEM
Owner. Applicant;
Address Date Evaluated:
Proposed Facility; De dp Flow (.1949): 3f o 2v,
Pmpertp Size:
Location o[ Site: Propetty Recorded:
Water Suppb Ile ❑ Individual ❑
Well
Spring
Evatuadon Mdhod: uger Boring ❑ Pit
Type of WaswWater;
Cut
emp ❑ Industrial Process
Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
L
.1940
La Wmape
.1941
Horium
PRAFILB FACT(
E
PositioW
Depth
~ .1941 .1941
sod
.1942
Sod
IOU
9
slope
(Ia) Struahsrr Considem
Wetnesd
soil
Ted Minenlo
Cola
I
►a JL-
-OAR e I 4L- V1
❑ Other
.1956 .1944 ProM
sepm Reetr clm
Clop Hari: ALTU
Ps ~
d Site Classification 1948X q5
Othas Present;
JiJV•l~-aaa4!'~r7rl~•4 So It:Yi,
I'iiQi+4$~~S~.i13SU~~,?~CCk vtr.!►~~~1~;,~311$i'4.~A~:. S1ls'Y'.~:!ti~=fill ~~`Ar:i.: a~.t~~L"'t'
. ,Y ,I., loo
-.1.Miham'
,rCd``'r`` ts~►~ t
ri,
~AC~tt'~~~~ ` 1Qw s:;,,ra,.► /oyds,
t ~ 1~l..At~~U~.di2 ~.1.$'I~A't`Y~l~[' AG}!'~!AK;.L~.~f~T!•t -
A-6^ wp jas4
OD
410,
do-A a42 P,a