IPACHTE# Aa -5-a,A-n Harnett County Department of Public Health
Improvement Permit 2 6 21 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: H,j
ISSUED TO: \ Ce r s~CCwLA \ o rJ SUBDIVISION Tom, ~ E ~ Qom, NTE LOT #
NEW REPAIR ❑ XPANS ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF 9 (,60
Proposed Wastewater System Type: c'>, Flo AE.p uGt t e) r,~ Sv ~T~t~
Projected Daily Flow: 3~ d GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes "o
/tom
Pump Required: ❑Yes El No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well it 1~:)o feet
Permit conditions: _
Permit valid for Five years
❑ No expiration
Authorized State Agent:: Date: c) SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Health Department in no way guarantees uance of other permits. The permit holder is res onsible 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 provement 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, .1951, .19% and .1959 are incorporated by references i
nto this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: t0 -1 PROPERTY LOCATION: N wy 2-7 W
Facility Type:
SUBDIVISION ! t•3GF-,,,
New ❑ Expansion ❑ Repair
Re, NZ E LOT # .
Basement? ❑ Yes No Basem
ent Fixtures? ❑ Yes No
Type of Wastewater System" a5'/v
(Initial) Wastewater Flow: 3(Z>a GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size N dO C) gallons
Exact length of each trench
feet
c1
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of ~0 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
Aggregate Depth:
Conditions: 75. t s ~k=M rr 1~P~~C~J Q . , ~a op o5c.c Vao r~ ~Qe L-Nc p .
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 speciflwions of this permit.
Owner/Legal Representative i nature: Date:
This Construction Authorization is subject to rev on if to 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 subl tXmplianc t visio of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: '7
on Authorization Expiration Date:
HTE# Permit #
Harnett County Department of Public Health
bite Sketch
~ r PROPERTY LOCATON: \Aw`)-;
ISSUED TO: W YnN Co4sS~. ~C1N SUBDIVISION `TiN6t1~, Pa~NtE LOT # gLl
Authorized State Agent HENS ~}LwFlt ~oL~~2F Date: `1 1 b
~yd
w~ea
Mss G-n
CoLp GOUT
Department of Environment, Health and Natural Resources
Division of EnvironmeaW Health
On-Site Wastewater Section
SOHJS1TZ EVALUATION
for OPT-SITZ WASTEWATIEB SYSTEr
Owner. Applicant:
Address' Date Evaluated: 7) aa~ i 6
proposed Facility: 3196. m -5 DeAp Flow (.1949x3 0
Location of Sits Pro" iteoorded
Watt~1r gupplT , Pub1~C ❑ Individual ❑ Well
Evalu~aa Method: Auger Hering El Pit
Type of wastewater: )Sewage ❑ Industrial Process
Shed:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
P
l;
O
P
SOIL MORPHOLOGY
OTHER
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L
.1940
1941
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rf
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slope
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.1941
sod
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.1956
.1944
PFW%
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soil
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Texture
Mtnnlo
Color
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