IPACHTE# 1 b- 3 a~0-1 y Harnett County Department of Public Health
Improvement Permit 2 6 2 6 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: G 2eE- , L-," c p
ISSUED TO: SUBDIVISION Ct N SS`P,s,;,c":5 LOT #H\"
NEVI REPAIR ❑J(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFS~( L1'9 x 5 Lt'
Proposed Wastewater System Type: C-4 vE~S
Projected Daily Flow: 3w0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 O O feet Permit valid for. Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent:: Date: 1 D SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan ther permits. The permit holder res nsible 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 taws 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 sz-o L~ PROPERTY LOCATION: G 2 E r-" L "\c5 O ;z_
SUBDIVISION C o-'QX3 N S `R ~ o N S LOT # VAV)
Facility Type: p ~ 't x51 New ❑ Expansion ❑ Repair
Basement? ❑ Yes N, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System' Co w -4 (3 N I_ (Initial) Wastewater Flow: 3~ d GPD
(See note below, if applicable
Co '~sv va s t A - (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 C) gallons Exact length of each trench S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: `~u inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. \7~1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
il. inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( 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 speciTcations of this permit
Owner/Legal Representaf i nature: Date:
This Construction Authorization is subject to revoca a site pl 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 su pliance with -t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: M NS Date: '1i \11) t'
Construct) uthorization Expiration Date:
HTE# ~O -5 3 Scat{ Permit # c~ boa
Harnett Cvounty Department of Public Health
Site Sketch
PROPERTY IOCATON: GQ.Ey- .
ISSUED TO: SUBDIVISION GaczGt~wa~ ~J •~cw s LOT # \ f~
Authorized State Agent: c w Q'Tatyt Date:
N OR
C.0,4 C~uNVt~
a
I
15~:
4?Ivision of Environmental Health
In-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Property ID:
Lot #
File
Code:
Owner. Applicant
Address:
Proposed Facility: / ~VJO,26 Design Flow (.1949):
Location of Site:
Water Suppy: XPUW [ I Individual I ]Well
Evaluation Method: Boring I ) Pit
Type Of Wastewater. Sewage [ j Industrial Process
Description
Initial System
R air System
Available Space (.1945)
System Ty (s)
t'
p c~ N
Site LTAR
Other Factors (.1946):
Site Classification (.1948): C~
Evaluated By:
Others Present:
Date Evaluated: )~ll~
Property Size:
Property Recorded:
[ I Spring I I Other
I ) Cut
Mixed