IPAC RHTE# 10--5---,a1(,3o0- Harnett County Department of Public Health
Improvement Permit 2 6 2 4 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: avC~z~,'LLtS VD
ISSUED TO: Ck)STO'N U+ `6 5 SUBDIVISION S-co gs E cX'Los s LOT # t-11 63
NEW 1 REPAIR ❑ ~PANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L6
Proposed Wastewater System Type: Vu McTo C4tvvEr oriP,,t,
Projected Daily Flow: 3 GPD
Number of bed ooms: Number of Occupants: max
Basement es ❑ No
Pump Required?6es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is responsible 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, .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: G~~ortc+E~ { C051 Om )A-oES PROPERTY LOCATION: 0J6~0'1NI~L-5 V-D
SUBDIVISION t-co vc-..c-fLos5 LOT # _
Facility Type: SFO C~ --d-- GTO New ❑ Expansion ❑ Repair
Basement? ❑ Yes I, No Basement Fixtures? ❑ Yes )X No
Type of Wastewater System**
P U MQ C a
Cd N~ fr.r~r-, C~ ri
(Initial) Wastewater Flow: 34 O GPD
(See note below, if applicable
'PUMP ~ a
\0 I" (Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size I o o d
gallons
Exact length of each trench '1 feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: S a. inches
Maximum Trench Depth of: a-L 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
C. inches below pipe
Conditions:
Aggregate Depth:
inches above pipe
1 3~ 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.
**H applicable: /understand the rystem type speciled is diNerent from the type speciled on the application. / accept the specilcations of this permit
Owner/Legal Representative Sig e. Date:
This Construction Authorization is subject to revocation Ian, 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 Authorization is a to compliance h the sio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
9. 5 Date: "Skc► Ito
Authorization Expiration Date:
HTE# 10- S-~~3o`(L Permit # aC~OA C-i
Harnett County Department of Public fle(alth
bite lk--~'ketcfi
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: O V 6rZ LLB
SUBDIVISION E C.rt ~°i5 LOT #
CLEi3s oL~~ Cat °S ~s Date: B 10
-Its"
~QUr.P To D
'd.5"I c 1~ - 1 v
<2EPa,~c~ } C -Ills,
C-.
I
S'
Department of EnvironmeA Health and Nature! Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISTT1i: EVALUATION
for ON-91TE WASTIgWATEB SYSTt*
Owner. Applicant:
Address: Date Evaluated:
LP~ 3 'a DeAp Floor (.1949): 3~ 0 J~~
Property Recorded
Sheet:
Property 1D:
Lot 1M
File M:
Code:
Property Size:
Water SuppO; tewap bik ❑ Individual [I Well C1 spring
Evaluation Method: uger Boring ❑ Pit Cut
Type of Wastmtm ❑ Industrial Process C1 Mw d
❑ ether
P
R
O
P
SOIL MORPHOLOOY
O' HEX
1 .1940
L L
.1941
PRORU pACTORa
ip
Horizon
3942
B Poeitloof
N sto" %
DqA
(Ia)
.1941
Sb
.1941
SON
.1943
.1936 .1944 Fdh
Wf"
Considem
Weblewf
soil
SWO Rely CtW
Temn
Minneb
Color
1N
Clae Haas. ALTAt
v
~ Frt, 5J5
~5
In -dog
:5 14F~,n~~ ~
r
Description
WW
9 °in°
Repair
3yetear Other Factors(.1946)
lve!labla 9 ear ,194!
Site C1aMiHCation 1948X
S dent a
Site LTA11
,rs
Evaluated By:
Othero preserR: