IPACHTE# ~b ~s -spa Harnett County Department of Public Health
Improvement Permit 26255
A building permit cannot be issued with only an Imerovement Pe rt
PROPERTY LOCATION: f"la(t<
ISSUED T0: ~a>C-.a LR ~t c^C-5 SUBDIVISION Q~,,e, r- F0 9Q LOT #
NEVt->( REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO ~6O'xy SJ
Proposed Wastewater System Type: 2.Sd/ a VL 6z\J CiC t o
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
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 b c'~ feet Permit valid for. Five years
Permit conditions: ~ ❑ No expiration
Authorized State Agent:: Date: b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o ermits. The permit ho der is re risible 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 Pe it 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 M6~1-A "40
\-k o c'\ E 5 PROPERTY LOCATION:
Facility Type: S U0 0
SUBDIVISION L~s - Nn O-D LOT # 1u2~
New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~9 No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** t s"~
o ~1z0\t C:K 10N S ~76c'\ (Initial) Wastewater Flow: ~(6 O GPD
(See note below, if applicable
X50/ V-60U tr S~STG- (Repair)
Installation Requirements/Conditions
Number of trenches c')
Septic Tank Size 1.00 C7 gallons
Exact length of each trench -15 feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 3-111 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 (INICLUDING 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 system type rpeciled it different from the type specified on the app/ication. / accept the specipcationt of this permit.
Owner/Legal Representative Signature: Date:
0 - ill, w icru~euun n we me pmn, Via, ui uie urzenueu use cnanges. ine construction Aumorizanon snail not be transterred when there is a change in ownership of the site. This
Construction Authorization is subject to c liance w vio f the Laws and Pules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ec--,1s Date: g to
ction Authorization Expiration Date: f
HTE# ~O -5 15 0 Permit # J-55
I-fit"llett ('olirlt`r Depot rent of Public Health
Site 'ketch
PROPERTY LOCATON:12~s 9,0
ISSUED TO: C-v m qeaL-4;,, m66 SUBDIVISION _4`b GJP ) LD LOT # (tip
Authorized State Agent Ta Y o Date: 7 ~;3 1 U
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Department of Eavironnmt( th and Nature! Resources
Division of Environmental Hewth
On-Site Wastewater Section
SOE1sITE EVALUATION
for ON-SITE WASTZWATZS SYSTEM
Sheet:
Property ID:
Lot M:
File N:
Code:
Owner. Applicant:
Addtest Date Evaluated:
ProP"Wfr3dhtir: 3 Gc:DQ6- DesipFlow (.1949y`~ 0Property Size:
Location of Site: Property Recorded:
Watet S-uP* ❑ Publo ❑ Individual ❑ Wed Sprig
Evaluatiat Method: Auger Boring ❑ Pit ❑ Cut
Type of wastewater. H Sewage ❑ Industrial Process U 1ti LU&
❑ Other
P
R
O
F
SOIL NORPHOLOOY
SEA
1
.1940
.1941
PRaFILB FACTORa
L
Laoriaeap
e
Horizon
3941
a
!1
Positioni
Slope %
Depth
(1n
)
.1941
St
W
.1941
soil 1043 .19 ti
.1944
heft
a
rnet
Consiateme
watfind sod sapre
Re*
ONO
Te)dm
' lmnlo
Color D6gkL1N.)
Clap
1lotis
A LTA>R
_
.
G
V N
\jm
P
gym. r.G
r sYatm Otha Factors (.I946X
Site Ctaui$cadan (.1948X PS
Othero Pmmt t