IPAC RHTE# 0-1 - 5-)Q, Harnett County Department of Public Health
Improvement Permit 2 6 2 3 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: P=VF-q-'2D
ISSUED TO: ~ 66cvcsf L5 `N f.. SUBDIVISION 9EC2s's N~ rt,ON EAALL
LOT #
NEW,A REPAIR ❑ EXPAN90N El
Type of Structure: S VD S~ "IA N'
Proposed Wastewater System Type: ~.r) u c,-t `~)a zErr,
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: max
Basement ❑Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes R.No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 b O feet
Permit conditions: Permit valid for. Five years
C., ❑ No expiration
Authorized State Agent::
Date: 'g 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is r risible for checking with appropriate governing bodies in meeting their requirements, This
site is subject to revocation 4 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: r\0 C-% Tr"5 \ N e. PROPERTY LOCATION: ~4001J exL 'QD
SUBDIVISION ~S,rnr`n.drv N\~>~L
Facility Type: 5 ~'q ~,~"~1 ^x1..~ ~ LOT # _3 1
X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" a4s to ~k e-Z vC7~ s 0 ~ S y sZ~ eh
(Initial) Wastewater Flow: 24Z) GPD
(See note below, if applicable
a.5 ° o IZEOU'7VW .1 Sys Er•n (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 b 60 gallons Exact length of each trench `71 S feet Trench Spacing: Tank Size 9 Feet on Center
Pump gallons Trenches shall be installed on contour at a Soil Cover. ro inches
Maximum Trench Depth of. V~ 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
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATIONS 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 speciled is different from the type speciled on the application. / accept the specileationr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revoutio he site
Construction Authorization is sub&t lj -compliance w*-the xN
Authorized State Agent:
Date: _
or the intended use changes. The Construction Authorization shall not be transferred when there is a
laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Date: ~o
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
Authorization Expiration Date:
HTE# Permit #
I~~l~t~ett ("on~lt I)v1m fillent of 1'llblicy Health
Site `ketch
PROPERTY LOCATON:R.,p
ISSUED T0: VL SUBDIVISION ON WALL
LOT #
Authorized State Agent: ~GZ~S O~w F~L -To i w SDcX~ Date: $ t~ } o
i
tl<,,
ao~
oV,- F~cr.v ~-vpC
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property 1D:
On-Site Wastewater Section Lot
SOQ.JSITZ ZVALUATION File M:
for ON$ITZ WASTZWATffila SYSTM Code:
Owner.
Applicant
Addmsaf
Proposed FXWty: ~ "6m"n
Date .Evaluated:
Design MOW (.1949r 34 o X~
pco
perip Size
Locatiou at Site
Property Forded:
Water gup*
Public ❑ Individual ❑ Well
❑ Spring ❑ Other
Evaluation Method;
Typo opt Wastewater
Auger Boring ❑ Pit cut
S
,
ewage ❑ Industrial Process mix
ed
P
it
O
F
1
1940
SOIL NORPHOLOOY
OTHER
.
L [ uwd ftpa
Horizow
.1941
PRONu PACTOR'J
9 Pori"
M Slopa'f1,
Daptr
(Ia)
.1941
1941 .1941 Sod
stucmw Coudde m webmd
i 1916
.1944 PFoM
J
~
Tura Mlna to Color
sod Sapre
ALM' 'N. Ciar
Re* 006
Hails. A LTAR
6
k
1-15
DftcdpdO°
got e
Ra syatew Other Factors (.1946)
Available S ce .194j
site Clashcation (.1948)
s ,tam .
Evaluated By. o~
a
Sib LTA&
.1< Others Pf Mnt @b