IPACHTE# to sHarnett County Department of Public Health
Improvement Permit 2 6 21 9
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: 96 r-,
ISSUED TO: Cv rn aC~t )-oti.s p u o trey SUBDIVISION C~.n o ~y p~ 6 two LOT #
NEW REPAIR ❑ EXP SION F-1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~~
Proposed Wastewater Syste Typ e: Ccv" ~ 0 N AS-
Projected Daily Flow eo GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ~No
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 10 feet Permit valid for. X Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Qa--111115 _ Date: 1) l b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan er permits. The permit holder is responsible 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, .1951, .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: C_v M e>EcLt-o.N,S V11 oc, CS PROPERTY LOCATION: PaN~~2oSA
SUBDIVISION C-P110 t-, ~y n, 5~+~.so N5 LOT # '10
Facility Type: SF~Cy~b x 6a'~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -19, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C<) N j%& ~ , 0 N P,, L- (Initial) Wastewater Flow: 3(-0 GPD
(See note below, if applicable
Co ry 4 6~-< , o r o. t.. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size o O d gallons Exact length of each trench "1 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
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Conditions:
Trench Spacing: cl Feet on Center
Soil Cover: \ a -2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
C, inches below pipe
a inches above pipe
2 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: / understand the system type specified /s different from the type specified on the app/ication. /accept the apecificationr of this permit
Owner/Legal Representative Signature: Date:
nos cumuucuun numonzanon is suulect to- non it the vt ian, plat, or the mtenaea use changes. the Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subo compliance to s e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: to
Constr ~on Authorization Expiration Date: 1
HTE# !O ` s--,~,IA Ll Permit # "..Ol
Harnett ("onitt T 1)epartll ent of' Public llealti,
Site Sl c,t(,li
\ PROPERTY LOCATON: Pd I'k O xK ,Os N Qw
ISSUED TO: -\,j mQ3 t v 0 ME5 SUBDIVISION CP.q.-Ot-NN Q. S6~sON S LOT # 7
Authorized State Agent: li5 6ZN EIL~oZ~~c Date: 'T 1
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SORJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: -'a) Id
Proposed Facility: ej wq-po.r, Design Flow ( 1949): 3 (=C
Location of Site: Property Recorded:
Water Supply: 'aPublic ❑ Individual ❑ Well
Evaluation Method: J~j Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
L=Wscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Sbmcture/
Te we
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1936
Sapro
Class
.1944
Reslr
Horiz
Profile
Class
& LTAR
-16'
L
S~
Description
initial
System
Repair System
Other Factors (.1946):
Site Classification (
1948): S
Available Space .1943
.
Evaluated B
System s
y:
Oth
P
t
Site LTAR
resen
ers
: o,"