IPACHTE# 1 0 Harnett County Department of Public Health
Improvement Permit 2 6 2 5 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'vJ s L.L '=p
ISSUED T0: 1 t L C, L~~ p M F.5 SUBDIVISION C Pa.oL--, rat P, 0 R~Ls
LOT #
NEW,X REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5qQ
Proposed Wastewater System Type: a S°10 CZ Goo vU',I C1 N
Projected Daily Flow: 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes El No May be required based on foal location and elevations of facilities
Type of Water Supply: ❑ Community ;K Public ❑ Well Distance from well \00 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 ce of other permits. The permit holder is respo sible 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 Imp ment 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: PROPERTY LOCATION:
SUBDIVISION C Ago L\ ti Av~S LOT # \5
Facility Type: `J~r U Sa x~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 2 o P, SL' V C. d (Initial) Wastewater Flow: 3C~ GPD
(See note below, if applicable ]
Installation Requirements/Conditions
Septic Tank Size t o od gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
(onditions:
rr) U C' -c 10 N (Repair)
Number of trenches a
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of a'A-30
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover \a ` 1~ inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (IN(LUDING 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 specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca i e 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 Authorization is subject to mpliance wi pro f the 6jws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 6
Constr _on Authorization Expiration Date: %
HTE #
i o Permit # a~a5 g
1--farnett Comity I>epartinent of 11,,,w is 1lea1th
S'i to sketch
PROPERTY LOCATON:__W 1 z t Ljc--R5
ISSUED TO: L t_ C Al C`~ C) SUBDIVISION C pSr o L~ c~ p (~j D,\c.. LOT #
Authorized State Agent: N pi , c -'Tc5LYcsc>ogj Date: Jd
T P~ L
aye
CPU1.1r,4C\ GAi, 5 (Z"va E
Department of Em9ronmenk Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOQJSWI 19VALUATION
for ON(-S1TZ WASTEWATIER SYSTFM
Owner: Appticam
Sheet:
Property ID:
Lot M:
File N:
Code:
Addrem Date Evaluated-
Pro- - \
Location cffit~~?>R)O0n Dc9pFlow(. 1949):"O Pmpertlr Size:
Property rded:
Water sup*, Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit Cut
Type Wastewater. ewage ❑ bdutda Process mixed
P
R
O
F
1
1940
OUL MORPHOLOGY
.1941
THER
PROFILa FrLG"iOA~
L
9
N
f a Wmpe
PoritloW
910" %
Horizon
Dq*
(In)
.1941 .1941
stu ftaf Coy Adam
Texh" WOMIo
1941
SOU
Webmw
Color
1 0
soil
MVA IN.
.1956
S"m
Cter
.1944
RM&
Horis.
hdb
ctm
RLTA>R
G L5 q~
0 'A
L5 ,&,T~sokc
A' aS
Sg K sum
P~
Dula Factors (.1946)
site Classi&ddon (.1948)f~
Evaluated Bye'.
Orhes Prem*