IPACHTE# 10 -s-was Harnett County Department of Public Health
Improvement Permit 2 6 21 7
A building permit cannot be issued with only an Improvement Permit
r-~ PROPERTY LOCATION: TH Gf-, ( 9,0
ISSUED TO: P ~ C;'~-i o a SUBDIVISION f ~P1To,a5 In t
NEW 'K REPAIR ❑ EX4~SION El LOT # $3
Type of Structure: S FQ Site Improvements required prior to Construction Authorization Issuance:
6
Proposed Wastewater System Type: Cop ~ v Ems ~ p c•r iht_
Projected Daily flow: 3 (ACS GPD
Number of bedrooms: 3 Number of Occupants: (o max
Basement ❑Yes `k No
Pump Required: ❑Yes ❑ No -,2~!ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well (Z) feet
Permit conditions: Permit valid for Five years
~ ❑ No expiration
Authorized State Agents: Date: '~1 a"1 Lp T SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holder is respon ble for checking with appropriate governingSbodiesA inAmeetig thletE 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, .1951, .19S& and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acco
with the attached system layout
rdance
ISSUED T0: fl . ~tJ As~r~ ~cvs ; 2u GS X0
PROPERTY LOCATION:
QP.~o~s Poi sC ~3
Facility Type: y.1 6~ New ❑ Expansion SUBDIVISION on ❑ Repair LOT #
Basement. ❑ Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System- osvJ~tiTv orr~ ~~O
(See note below, if applicable (Initial) Wastewater Flow: GPD
-0H-,JG"-N\.0 f-r {fit. (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size t oo p gallons Exact length of each trench D CJ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. aIA inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 1 a, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: `a inches above pipe
1 a 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 ryrtem type specified it different from the type specified on the app/ication. / accept the rpecificationr of this permit.
Owner/legal Representatjve Signature:
This Construction Authorization is subject to n if the site Ian, plat ~the ded use changes. The Constructon 1 1! 1 zation shall not be transferred when Dag is a change in ownership of the site. This
Construction Authorization is su ' a to compliance th ons ules for Sew age Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Qs~)+5
Date:
Con ction Authorization Expiration Date: ':2_
HTE# 10- S-a~~LS Permit #
1a1.11ett Collrlty Depallillent of 1'llblic 14(l(alt11
si to IS, hetc l
PROPERTY LOCATON:_ I.a p
ISSUED TO: fl ASS ~o~sticv ic,-\va 0 SUBDIVISION PA-nd ~y oi N.>i LOT # '23
Authorized State Agent::: E1~5 (OLl +16L -v 0'-13
Date: n 1_` 0
134
6-r c~~ k.E ~J', 6 L E, ~ 2~ V L
Department of Enviromment, Health and Natural Resources Sheet:
Division of E Mronmental Health
On-Site Wastewater Section LoProperty ID:
t
Lot N:
SOIUSITZ ZVALUATION File N:
for ON-SITZ WASTIgWATIEB SVSTLW Code:
Owner: Applicant:
Address Date Evaluated:
proposed Facility: Design Flow (.1949Y Prop" Size:
Location of Sit« Properly aecorded:
l` Public
water Jup ❑ Individual E] Well C] Spring ❑ other
Evaluation Method; .Auger Boring ❑ pit
8 Cul
Type of Wastewater: Sewage ❑ Industrial ft" mixed
P
R
O
P
S0UL,%40RPHOL00Y
1
.1940
.1941
L
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on
9
Positlos/
Depth
.1941
.1941
N
Slope 9tr
(1a)
Shvaflt w
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Texh"
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on"
PROFIi,6 FACTORS
.1941
Sod 1943 .1916
webmw/ sail Sip
Color QY, Clan
3 n R° SY Other Factors (.1946)
- - - Site CIRWficadon (.1940 P S
C-vv C/d Evaluated By: a'C'
C nC Others Ptesalu
.190 hwb
Re* CING
Haas. A LIAR
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