IPAC RHTE# 07 -5-1-~$a56Z Harnett County Department of Public Health
Improvement Permit 26231
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Noo,l~ct:QA
ISSUED TO: Corti Cn tvG- SUBDIVISION R&CLS% m+ NQ LOT # 13,
NEWS„ REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VC) H$ x3"
Proposed Wastewater System Type: Co N V & M x tr-m L.
Projected Daily Flow: ~O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes /t!~No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well C feet Permit valid for. >(Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q- ~5-- Date: tl to SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the , of other permits. The permit holder is r sponsible 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: Q-er-sNcl \Nc~ PROPERTY LOCATION: "AoovEa-
x3~~ SUBDIVISION LOT # 13
Facility Type: Sre Q / New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** C- rvye~.►St0 N c~t~ (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
`rC"-J Ens[ 1D N RI-- (Repair)
Installation Requirements/Conditions Number of trenches `i
Septic Tank Size t o 00 gallons Exact length of each trench '-1,5- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Qi- LF inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing:_ Feet on Center
Soil Cover S -4, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
2 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 rystem type specibed Is different from the type speciTed on the app11c,7#ofl / accept the specil2wofls of this permit.
Owner/Legal Representative Signature: Date:
This Construction Autts subject to revo f the site Ian, 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 Authoriz'e to compliance ' the he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Stat: Date: >e
Const ion Authorization Expiration Date: L5
HTE# Permit # (,a3
flarnett Comity I)ePartinent of Public Health
` ite Il:etc II
PROPERTY LOCATON:_Nooy~2 Q a
ISSUED T0: C- E r+c. SUBDIVISION _p~2s r M! .1 b N L LOT #
Authorized State Agent:5C(juv~ ioLt, e: '8I ►al 0
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILJSITZ EVALUATION
for ON-SITE WASTZWATZR SYSTEM
Owner: Applicant:
Address
PMXMW Farillry:
Location d Site:
Watt 3uppijr
Evahaatlon Medw&
Type of Water:
Date Evaluated:
s~aos DeslgR Flow (.1949):
Property Recorded:
Public ❑ Individual ❑ Well
Auger Boring ❑ Pit ❑
Sewage ❑ Industrial Process
Shed:
Property ID:
Lot H:
File M:
Code:
Property size-
0 Spdng ❑ Other
cut
MbWd
P
R
O
P
1
1940
OM MORPHOt.00Y
.1941
THER
PROFIU FACTORa
9
M
Poet
Slope %
Dq*
00
.1941 .1941
Strvehow Canddeaq
Ted Mirmlo
sac 1 1
Webmw soil
Color IN.
.1956
3epre
Clan
.1944
Re*
Haeis.
hwb
Clam
R LTAX
0-4") G v r~ NQ
E.
r~>s
system OdW Factors (,1946)
Site Cla0cation (.1948) -~J
r Evahated By:C
Others Present