IPACHTE# ( o --s Harnett County Department of Public Health
Improvement Permit 2 6 2 3 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M a e ~5 p
ISSUED TO: CJ r-NP-sUGLZ. V~Or-~, 4jUt L0eCL5 SUBDIVISION C4c5eE zr FPS.+n~ LOT # _
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'j 1~--7 S> (5(b C,"
Proposed Wastewater System Type: C- -v C--ii t d tv P L
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ~N0
Pump Required: ❑Yes '>~Ao ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~K Public ❑ Well Distance from well l Cad feet Permit valid for Five years
Permit conditions:
A ` ❑ No expiration
Authorized State Agent:: Date: 1 tb SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is ~ee of other permits. The permit holler is 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 Improlwnent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit,)
wTheith the construction attached system installation t 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
ISSUED T0: S r c~yp,-t y c p U V Lp151V PROPERTY LOCATION: I~ A2kS P\t)
G,dp~ ~pi21~~ _
Facility Type: 5 (S-4, 'AL► N SUBDIVISION LOT #
ew ❑ Expansion ❑ Repair
Basement? ❑ Yes '&t, No Basement Fixtures? ❑ Yes '*~<No
Type of Wastewater System** ~o tv v q_- rYC to r'4- A"t_ (Initial) Wastewater Flow: 36 Q GPD
(See note below, if applicable
acv .f Er-t 1 t b r't aN l-- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size i OO cJ gallons Exact length of each trench 50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth oh a -4-3 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: V~,- a9 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
%D1 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: / underrtand the ryJtem type rpeci~ed is dif/erent Jf In the type apeciFed on the app/ication /accept the rpecifcationr of thisermit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo f the 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
Constructon Authorization is s b'ect t compliance the s of Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Co
9- t 5
Date: ~ 13 N 0
Authorization Expiration Date: g 3 r,
HTE# 10 ~5 - 5(o Permit # o~
11"u-Ilett CoutitN- Dep l-fillent of Public IIea1th
Site sketch
PROPERTY LOCATON: f'~4-~<-)
ISSUED T0: S - o u ALP E S SUBDIVISION Cc~cr-t`n ~cAt2cn~ LOT
Authorized State Agent: ¢C-u5 C6~~ yz_'ToL~tst7p(j~ Dater 136
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Department of Environment, Health and Natural Resources
Division of FjMmnmeutal Health
On-Site Wastewater Section
SOQJSYTZ EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant:
Address Date Evaluated:
Proposed F=WtT: 3 Coq-o3 r,5 Design Mow (.1949): 3 (o53 Pmpertp Size:
Location of Site: Property Recorded:
Watet SUP* He ❑ Uldividual ❑ Well ❑ Spring ❑ Other
ger Boring ❑ Fit cut
Evaluaion Method: 47c,
Typo of Wastewater: a
ge ❑ Industrial Process Mixed
P
R
O
F
SOIL NORPHOLOOY
OTHER
l
.1940
.1941
PROMA FACTORS
L
Laudacape
Hmisora
.1943
9
M
PoAdOW
Slope %
DqA
(h)
.1941
Sh
h
w
.1941
god 1 ! .1956 .1944 be&
uo
v
Coadda"
wew" soil SWO Redr Ctm
L7
TOM"
Mlawelo
Color M. Clue Harts. A LTA>!
1
d aole
.
G 5
V ~CZ~
s
.o
Dnaip ion lai w Repdr Syetes Other Factors (.19462
s ei°
Available S9400 .1943Site C1asSiHcatlon (.1940 _5
~
9 dens i ca E~~ By: sit. AR 4 Others Prewt