IPACHTE# \o-s-a~1~>✓~ Harnett County Department of Public Health
Wrovement Permit 2 6 21 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 ~w-t2-1 NiJ
ISSUED TO: '!t4" COT-Atnn.JG~a00 SUBDIVISION 7T-1 rc~Qrj b1tK9- LOT #
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Srs~ ((-O'-11!5p
Proposed Wastewater System Type: aS% ~~vGtioev yr.Eoc.
Projected Daily Flow: 'DLO GPD
Number of bedrooms: Number of Occupants: r,,, max
Basement ❑Yes XNo
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 1 D O feet Permit valid for. ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: RZ,&3, Date: `l a.3~ l0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ther permits. The permit hol er is re ponsible 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: r4 N Co ir-~ GG lG rJ PROPERTY LOCATION: \a.,,,y
~1 ',J
SUBDIVISION `i+JGE~.f
Facility Type: SV fl(.!,O x5d~ New ❑ Ex
ansion El Re
air
~OLOT # -'ZN'l-
p
p
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'KNo
Type of Wastewater System** a-S'A 9--E-0 u GS so S yS-S-E r~
(Initial) Wastewater Flow: ~C) GPD
(See note below, if applicable
~~°~a RF~u~toN °JySTEM (Repair)
Installation Requirements/Conditions Number of trenches 4'
Septic Tank Size ► O o a gallons Exact length of each trench 5S feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover. 41 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 pipe
Aggregate Depth: inches above pipe
Condjtjons: S r~ s 3 p E1r ; ~P.SES~ d Ra- Pas c'~- ~r.N~~Pt-• c,co a : S inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified /s &Yerent from the type specified on the application. l accept the specifications of 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
Lonstructwn Authorization is subj~ rice wohi~the'p!!Sns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: cc, ~ _ Date: -1
Authorization Expiration Date:
HTE# ►o-S-a'-i`11 Permit # a6~13
Harnett County Department of j-' -twic Health
Site Sketch
PROPERTY LOCATON wy 3
ISSUED T0: y c + cv s-rQAU C,:5 v 44 SUBDIVISION N c 6 N 'PotNTE LOT
Authorized State Agent: i2 t~5 Cb L v15 'rOL` -600 SO Date: k ~
~ R2 ~a 1
13~~ ) 50.
X60
l .
16 Lj'
w"&I. 1 D-0
M G~ 6Q
GOti-o CAUa-:~
Department of Euvironmenk Health and Natural Resourm Sheet:
Division of Eavironmental Health Property ID:
On-Site Wastewater Section Lot
SOMSi1T1C 9VALUATION File N:
for O111-811 Code:
a WA3 I ZWA'I ZB SYSTE
Owner. Applies
Address
Date Evaluated: 0
Proposed
5 Mr 2, a Dedp Flow (.1949):5 6 o - Property Size
-
Location ai
te:
Prop"
.
Water Sapplj -Publk ❑ Individual ❑
Well
❑ Spring
Evaluation Method;
Type o[ Wbwwwater:
Auger Boring ❑ Pit
S
❑ I
Cut
ewage
ndustrial Process
mixed
P
R
O
F
1
4
301L MORFHOLOaY
OTHER
.19
0
H
i
.1941
PRO FACTI
9 pogifloW
M slope
or
sos
Dqd
(Ia.)
1941 .1941
St l
.1941
Sod
.1$43
Coadde m
T"b" Nimnlo
web wf
Color
Soil
lZY.
a5 240 Sey^ SC2 V-L ~SJ~p
J. ,
❑ Other
.1916 .1944 heft
39" Rash Clan
Clue Hons. A LTAR
QS_~y
~c cy J \ G SL \Fq- t
al- sue- -IL ~
Site CIAWcation (1948) PS
Evaluated By Others Premtt
3t~t~'rlii~~'C~ty ~dt[. ~i-.~''4".[:ltd►~~1L:~"r~1Ld►:~~OC,~r~~',
!'ROr.(j$ y S t B SU ttl ' ~C ' yRr S'1'~ t)1lSi.64AL .5`YS'i`hl
/Ao
1
y 1
01
54
Fir,
Y t 71
..t~A~`` y'..' 4't 1t 5 •~9,, 1y ~'Q'`; ~1 .4~~ ~ • ~ •~s~~~~ _Q, ~ +
49
,
A + . OJT, r If 5 1 ~,y~
da!
+ d.
jila
4V t
.,1ri v 44
.4, r"'`"'i-.+..~,,,.,A~,.~ 7~~. ~A ~A, .~.y ~i~ r` ~ ,r~ ~ ' ~~~r'~} ~'t'~i ~S' 7/.'.. Est
r
t
tow WAV "L
of IMF,;
'1 M~K rS , i 11r,
.r~~r UW~ wak r+ .,IZ..uw(~"M ~y ~4A~ ,yN'~.' sr+4..,