IPACHTE# Ea-5 -1 Harnett County Department of Public Health
Improvement Permit 26243
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: n
ISSUED TO: CON-9',cl,,j 0 ,t SUBDIVISION C..061PSO. LOT # 35?
NEWf< REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 '~:U ~ l2l"x3~~
Proposed Wastewater System Type: Cn -4 t ~'s5 ti o t>.~
Projected Daily Flow: :1(o O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ANo
Pump Required: ❑Yes ❑ No>< May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: gt `1-11 \a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit ha er is ponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, pla4 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, AS& 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: YNtr Cor4=-5Q-\J mim PROPERTY LOCATION: MD.2*S ?-,v
5 V=0 LI ti ~KSUBDIVISION Co oQ C32 Fp cz,.r~ LOT # 3g
Facility Type: 3g D New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ~R No
Type of Wastewater System' CorvVC-rJ;%0t-3to to. (Initial) Wastewater Flow: 3CD GPD
(See note below, if applicable
Co ty V Ent'S t 0 r.s 1?114__ (Repair)
Installation Requirements/Conditions Number of trenches -1
Septic Tank Size % <n gQ gallons Exact length of each trench t So feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1? -3L 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. (Z - a L4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
~1 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderrtand the ryttem type .rpecifed it different from the type speciTed on the app/icmion, / accept the ,rpeci6cmiont of this permit.
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
Construction Authorzation is subject t~ompliance wiffr~pro . oft ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~~w 2C=S~S Date: 8
Construct) Authorization Expiration Date: ~-7 15
HTE# Permit # aC120 t-3
11(a °nett County I) pertinent of Public Health
`l1 to Sketch
PROPERTY LOCATON: M PR.~z~ ~.D
ISSUED T0: ~SS2v C,: O 0 f- SUBDIVISION Coop Erg 6i cr. LOT #
Authorized State Agent: Cx;;~06 ~CL)v Erz,'~`oiv~sdoRf Date: 4 1~~ S 0
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Department of Environment, Health and Nahum Resources
Division of Environmental Health
On-Site Wastewater Section
SOUJSUZ EVALUATION
for ON-SITZ WASTMATER SYSTtM'
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: 3 4 a.D a0 y,+ Dedp Flow (.1949Y 3 6 v 5`~
Locadou d Sites Property Recorded
Water Supplj Pubi~C ❑ Individual ❑ Well
Evatuadotr Method: Auger Boring ❑ pit ❑
Type of Wa*ratet: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot H:
File M:
Cade:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
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1
1940
OQ, MORPHOLOGY
1941
THER
PR01u PpR,*iOR
6
9
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Hmizam
Posi~ Dq*
Slope 9ti (Ia.)
.1941 .1941
Structural Coodidaaee
Texoa MbWelo
J942
Sail
Webm
Color
1$43
Sou
mrA QV
.1956
S"m
Clan
.1944
Reds
Haft.
boo
Ct»
a LTAI
d2:,_-,-& - 5 Y Fit rc 3~
S $
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rcapa7araa, Other Factors (.1946)
r Site CINWIcatlon (.1948),5
ETeh>ated By:
ci N Others Present: dC