IPACHTE# 1 0 -5-ati~~5 Harnett County Department of Public Health
Improvement Permit 2 6 2 5 7
A building permit cannot be issued with only an Improvement Permit
p"
PROPERTY LOCATION: Q L 1 ~~as 1ST
ISSUED TO: ~Ac, .~S SUBDIVISION C.oi2 L- , - tom LOT # 55
NEWA REPAIR F-1 _PANSION F-1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5F9 l!"x'23 ~
Proposed Wastewater System Type: C- N~ E~ s b N A L
Projected Daily Flow: 3(" C) GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes `,1< No
Pump Required: ❑Yes No `AlMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 C70 feet
Permit conditions:
Permit valid for. Five years
❑ No expiration
Authorized State Agent.: RE~~ Date: 8 ~ 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuother 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: 1 ~t_ Gva2~ ~A
Facility Type: ( New
Basement? ❑ Yes 2 No
Type of Wastewater System**
(See note below, if applicable
Co 4,jE-^r 0NAt_ (Repair)
Installation Requirements/Conditions Number of trenches )i
Septic Tank Size 10 do gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 340 GPD
Trench Spacing: Feet on Center
Soil Cover. 6-10 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a, inches above pipe
Z cl. 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: / understand the system type specified is different from the type speciTed on the app/ication. / accept the spec111'Wions of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo ' if the site 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 subjectzcompliance wt~k tthh s e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Basement Fixtures? ❑ Yes
GoNV~ t-C 1 o tY F,%L-
PROPERTY LOCATION: \J s1-i L_vc,PK, C
SUBDIVISION CNZ.oL\ P, 3 R`t,5 LOT # 5a.
❑ Expansion ❑ Repair
No
Authorized State Agent: v" 10 Date: I? a,S10
Cons tion Authorization Expiration Date: -t
a.5
HTE# ` 55 Permit #
Harnett County Depa l-fill n t of Public ~ ~e~><ltll
Site Sketch
PROPERTY LO(ATON:_ lUL L_v GAs R~
ISSUED TO: 1z-~- L A MC-.5 SUBDIVISION C. D~cLO Na R~45 LOT # 52~
Authorized State Agent: EIS L\ v S^2 TO L-V-~ ttF Date: 3,51 O
3d 062..A~r-1 AG G..
y
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot 1!:
File M:
50EUSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTB,M
Owner Applicant:
Addresic Date Evaluated:
Proposed Facility: 3 -5 tcz v,t Design Flow (.1949Y 360 d' Ptvpertp Size:
Locadoat of Site: r Propa* Recorded:
Water ftppCj rAuger lic ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Boring ❑ Pit cut
Type of Wastewater: wage ❑ Industrial Pmces>t H blUredk
-T
R
O
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
11
Lastaape
Posidool
Slope%
Horizon
Depth
(1a)
1941
Sbuatwnl
Tune
.1941
Cormidaw
;Monk
.1943
Sol
wet,"d
Cola
.1443
soil
Dk& IN.
.1956
Sgro
Cllr
.1944 hofflo
Re* Clow
Hons. A LTAX
5
`Lis
G -~5
G 5L
tl N~~
Site Classiflcatlou (.194W
Evahated Byrs i
u2f1~ 5,J" `y/„ rL~,J
Others Prey ~P,o
v L~ 3 C.