IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 2 5 0
A building permit cannot be issued with only an Improvement Permit
\ t PROPERTY LOCATION: "w-1 -4-1 W
ISSUED T0: W ~1stN ~r.)StCLVG:~C1~1 G SUBDIVISION 1 tr4 bay R6,1 .5 L LOT # -1 I
NEW REPAIR ❑ EXPANSION 0 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Po mP %a _1 Vl- s,vcs; s o N
Projected Daily Flow: 3(-0 GPD
Number of bedrooms: 3 Number of Occupants: <O max
Basement ❑Yes i~ No
Pump Required:'54es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community X Public ❑ Well Distance from well 1 d feet Permit valid for: Ntk Five years
Permit conditions: ❑ No expiration
Authorized State Agent::Date: $ I 'Z,31 i0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o erants. The permit holler 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: v11 "'1 N N C~~st QL v) 0 N PROPERTY LOCATION: N 31 tit
SGO CEO ,~U SUBDIVISION 711 ,,a~F--40 LOT #
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~4 No Basement Fixtures? Or Ye 'l No
Type of Wastewater System** P~ MQ N 0 2 d xi v0 nr S~S~Ecn (Initial) Wastewater flow: GPD
(See note below, if applicable
Pv
Installation Requirements/Conditions
Septic Tank Size gallons
Pump Tank Size 1tt gallons
Pump Requirements: ft. TDH vs.
~ /o 4iD vJ C;1~ 10 tQ (Repair)
Number of trenches 1
Exact length of each trench a feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. Co inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: 1 Sa's Ear. gA560 0.j Q QcZpQd ~rtors ~PPL~~,Sa~J~S
inches below pipe
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 l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Houma auou > >ovtcu <tJ ,e.ocauun n we xie plan, Inac, or me mcenueo use cnanges. ine tonstructmn Aumonzatwn snau not be transterreo when there is a change in ownership of the site. This
Construction Authonzation is subp t~compf3Tt~wie oyisions o aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Q-6-Y6 Date: '3
10
Authorization Expiration Date: 9
HTE# l0`5-21 ~~32 Permit # ~6~Sd
Harnett County Department of Miblic Heldtfi
bite ISlcetch
PROPERTY LO(ATON: ~lw-0~`J
ISSUED TO: + 4 Ca r-4 -5-,CZyL~~oN _ SUBDIVISION 1 ~N6~.1 ~"''E LOT #
Authorized State Agent: E(L -oLYsflo ~ Date: _ 8 C~ act
X00
I,
as Q
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Department of Environment; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
S0IIJSrM 9VALOATION
for ON-SITS WASTEWATLB SYSTLVt
Owner: Applicant
Addn= Date Evaluated:
PMMW
LacaCtoi>uaiS t)r 3 eGggcrjn DDesipFlow(.1949Y ~Zp
Watts PubUc ropany Aeoorded:
gupP ❑ Individual ❑ Wed
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Irydlustrial Process
Sheet:
Property ID:
Lot H:
File M:
Cole:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL NORMOLOOY
1941
TM
P1tOFtLB FACTOR
L
9
N
Lmndaaape
Posidow
Slope %
Horizon
Depd1
(In,)
.1941
9troafte/
Ted
.1941
Co"dam
Ntnaalo
,1941
9*0
Webmw
Color
.1043 .1956
soil Sapro
Diva IN. Clash
.1941
Raab
Hods.
P1ofIN
ChN
A L?AIR
`
LS
7
O
L5
v ~(1 j"
Rapair Sydow Other Factors I MW
Site ClauifiCkd0n (.1948 V
r.P Evaluated B
Others Present: