IPACH T E # 10 ~5~ "i 35 Harnett County Department of Public Health
Improvement Permit 2 6 2 4 4
A building permit cannot be issued with only an Improvement Permit
Co PROPERTY LOCATION: ►~wya.`~ ~J
ISSUED TO: (-.I V1 caSSa-M c-, 10 ,J )i N U SUBDIVISION TN cE>v Q~ E LOT # tb2,
NEWX REPAIR ❑ _ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ~S> 1 -
Proposed Wastewater System T pe: as% Ru~ttb~,`w~~s^?
Projected Daily Flow: 3C~ GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes X No
Pump Required: ❑Yes 'X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Loo feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 7~__Zs~ QJ. 165 Date: 1-11 M SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit ho der is esponsible 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, A% and .1959 are incorporated by references into this permit and shall be met. Systems shall be instalkd in accordance
with the attached system layout.
ISSUED TO: \V1 yNt4 Co N57*i 20 C;~K sa tJ 1'JG PROPERTY LOCATION: N w y c~7 W
SUBDIVISION i a c Ems, ~ai Ni y E_ LOT # 01
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'IS, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** /0 R oU GTtd-z -~5 Erg. (Initial) Wastewater Flow: 36C) GPD
(See note below, if applicable
Po"e Q-S-10 ?NE.ov G' 10 t-J (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1000 gallons Exact length of each trench 60 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: G inches
Maximum Trench Depth of. \11? 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 inches below pipe
Conditions:
Aggregate Depth:
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 is different from the type specified on the application. / accept the specfwionr of this permit.
Owner/Legal Representative Signature: Date:
-J- w wuun n me >ne pmn, piar, or me mtenheo use cnanges. the lonstructon nuthonzanon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to cu' ith ovisions'*.4_Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: f- Date: "P -n In
Constr ion Authorization Expiration Date: n
HTE# ~d ` t~.5 Permit #
Harnett County I)epartnlejit of Mtbl is Health
Site Sketch
PROPERTY LOCATON: H Wy - ~ W
ISSUED T0: N ~2v~ t Fo c.~ ~ NC SUBDIVISION - t i N `S-I'j Po ~~s C LOT # O2-
Authorized State Agent: a c-w ~z '~o l-1GS~7l~ Date:
t~5'
l^7~.
co `X 'I S
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Department of Environment. Health and Natural Resources
Division of & Mronmental Health
On-Site Wastewater Section
SOQJSM $YALUATION
for ON-SITZ WASTMATZI SYSTE4
Owner: Applicant:
Address Date Evaluated:
Proposed Facility: C3Cs ~c r, Desigp Ftow (.1949r aye
Location of Site: proper Accorded:
Watt:, 3upW Public ❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ pit ❑
Type of Wrater: Sewage ❑ Industrial Procealt
Sheet:
Property ID:
Lot i!
File:
Code:
Prvpertp Size-
0 Spring ❑ Other
cut
M1W
P
O
P
SOIL IMORPHOLOOY
~1 fiEA
1
.1940
,1941
PROFtLB FrLG`iOR~
L
Lzxbmpr
Horizon
1949
9
M
Positlonl
slope %
DqA
(la)
.1941 .1941
Sh
t
r
soft
1}~3 .1936
.190 NO&
nc
ur
Corwdeem
wetn"d
soil sapre
Reap' CI M
Texture 4litnrtto
Color
D' A IN. Clan
L?A>i
Horf=
~S
f-
.
~V~IdMbU pdas to;tW Repair sY.tM Other Factors (.1946)
s erne
a .19 4! Site CtasdHcadw
194
s dorn Amok) ~ E'velmled Byr,&~-
SM LT,Ut Others Nwt