IPACHTE# Ia ~s Ot Harnett County Department of Public Health
Improvement Permit 2 6 2 3 6
A building permit cannot be issued with only an Improvement Permit
ISSUED TO: C v M L rs PROPERTY LOCATION: t"1 ~2~5
9 ~~c9crG3 SUBDIVISION ASaFO~
NEW REPAIR EX ION ❑ LOT
Type of Structure: Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: a.5 AZ-EQUC~~aN --)y~sEm
Projected Daily Flow ~S 4-Q GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No "X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ] Public ❑ Well Distance from well 1 d O
Permit conditions: feet Permit valid for. J',8five years
❑ No expiration
Authorized State Agent:: ~"-y
Q-r pe Date: 43 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of oNr permits. The permit holder is responsi ble 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: Cu r,(?,c LP.,~ O MGM PROPERTY LOCATION: r'11~2`F.S ~p
Facility Type: cj'~p D SUBDIVISION ~sr<E~b2~ LOT # 101
New ❑ Expansion ❑ Repair
- _X1 Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'JR~ No
Type of Wastewater System*" a.5 °lo
(See note below, if applicable (Initial) Wastewater Flow: oC'~ _GPD
c)..so/o REi~uG-CS bc.r SysT[rr-\ (Repair)
Installation Re uirements/Conditions Number of trenches
Septic Tank Size OCOO gallons Exact length of each trench 1SO
Pump Tank Size gallons feet Trench Spacing: Feet on Center
S Trenches shall be installed on contour at a Soil Cover.G_ inches
Maximum Trench Depth of. 1R _34 _ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Conditions: -s-Tub PLUMiyNCe N-r G2„oUtv0 e,C=raCE Aggregate Depth: inches above pipe
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 Jyrtem type foeciled it different from the type specified on the app/ication. /accept the rpecilcationr of thi permit
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when mere eis a change in ownership of the site. This
Construction Authorization is b' to compliance ns o laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE iMru
Authorized State Agent:
eL~~
Date:
Authorization Expiration Date: _I $ I NA t 5
HTE# sac) P ' # aka
ermit
Ht-1.1lett County Wpartment of Public Health
Si to A ' ketch
PROPERTY LOCATON:
ISSUED T0: C~ rr A D p ,r ~g SUBDIVISION
LOT # 4C'Sl
Authorized State Agent: S 0~`~~ To
ate: I lea
Wp~,j
Department of Environment, Health and Natural Remurm
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot b:
SOQ.JSTTJ &VALUATION File *
For 0 N-S17E uu La Code:
176WAT>ES SYSTEM
Owner. Applicant:
Addtem
Data 6vatt>ated:
Proposed Facility: 3 DO t-j~ga Flow (.1949): U
Ox
L
~
P
~p~h Size:
ocation of Sitx
operty
r
Recorded:
WatCt Supply;
Ir
ldivldual
E
Well
❑ SP
valuation Method;
Type of wastewater
rA
ger Boring ❑ pd
B
wage ❑ Industrial amss
mixed
P
R
O
F
1 ji
SOIL NORFHOLOOY
OTHER
L e Horizos
1941
PROFILE FACT(
b ~
.1941
. 1941
.1942
Sod
1 43
Taadura
Camirte"
Minwsio
Webfeaf
Color
n:.illrru,
5L
~FrL ~3S kv p
PSpv-,~
sy.tm
VMN Factor, (.1946) -
Site Classification (.1948)
Evaluated By.
Othas Pteme
❑ Other
19?6
.1944 AVM
Red r can
Horiz. A LTA
,b
5'.
f