IPACHTE# S Q --)-A 3q 1 Harnett County Department of Public Health
Improvement Permit 2 6 21 8
A building permit cannot be issued with only an Improvement Pe it
PROPERTY LOCATION: t N GErt s~
ISSUED TO: C-0rscio.C,~ Nt'4 SUBDIVISION 11 NCEr4 yp,c.G LOT # -1
~
NEW'X REPAIR ❑ EXPISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5 Q--9
Proposed Wastewater System Type: -S°f a R~a~ccti t~ a 5~~ ;
Projected Daily Flow: a GPD
Number of bedrooms: 3 Number of Occupants: ~O max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No 'KMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well tCZ)O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan ofzh other permits. The permit holde is res Bible 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 T0: INC C- PROPERTY LOCATION:
SUBDIVISION r N _~FN lug LOT # --)C)_
Facility Type: SF D L~ 1 ^Jl New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~C>alo
Type of Wastewater System** ~°/e 9'tz'J GK N 0 N S) 5 -r tr I I W FI Z
(See note below, if applicable
~S°lo
RE~uLc~~,J Sy$c (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size t o0o gallons
Exact length of each trench Gb feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ate- 3p inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
(il a) astewater ow: ~ GIRD
Trench Spacing: Feet on Center
Soil (over. ) a.-1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
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 /s different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is su evocation if 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 s pitct to comp rove of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: NN~ 5 Date: ) 0
uction Authorization Expiration Date: `7 7`
HTE# 10- S- -13'~i1
Permit #
Harnett County I eptjrtii~erit of pjjj)lic I~ealth
Site Sketch
PROPERTY LOCATON:_ ► 6Erl
ISSUED T0: ~Q 2-p.c.-CAN SUBDIVISION lticyct~,a p~ '--LOT #
Authorized State Agent: iS ~~wC-r~ i o LYSOOt- Date: -7 1 O
p~~ S G
30' oTii Pow 6(U-\N6 ,ASE.
' a ellI
AIR
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Sp,uoy C---~
Department of Emiromment, Health and Natural Resources Sheet:
Division of Bmironmeutal Health
On-Site Wastewater Section Property ID:
Lot N:
SODUSM EVALUATION File a:
for ON-u Code:
'i a WAS'I'MA'I CA 9YSTE4
Owner. Applicant:
Address: Date Evaluatai: '7
Proposed Faalitr. 3 GExw,-,, s Desigs Flow (.1949): -5w Property Size:
Location of Site: Property Recorded:
Water sup* ~Nbflc ❑ Individual ❑ Well ❑ Spring ❑ Other
Evahmdon Method: Auger Boring ❑ Pit Lu
Type o! Waslaw^ater. Sewage ❑ Indnatrial Process Mixed
R
O
F
301L NORPHOL00Y
1
.1940
.1941
L
Lampe
Hodzm
E
Positiew
Dq*
1941 .1941
Slope %
(1m)
Strnaturd Co"do"
Ted Miamlo
1
L5
OTHER
MOM FACTOR3
.1941
3oi! .1443 .1916 .1944 FrofM
w Soil s.pro Re* c1m
Cola Qr, Clue Hods. L7A]N
I
Other Factors (.1946)
Site Cl9Wc4aon(,1948) j
Others Prem