IPACHTE# 105 a Harnett County Department of Public Health
Improvement Permit 2 6 2 6 7
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: ~OCt~y V,
ISSUED TO: 'E~-l QE C t Q P rc~~ LI-C, SUBDIVISION Q~ 7,, GqQU LOT # I _
NEW,X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V O L~ 2 n
Proposed Wastewater System Type: P y,-P 70 3.5` o a1,3
Projected Daily Flow: 34~,d GPD
Number of bedrooms:_ Number of Occupants: max
Basement ❑YesNo
Pump Requir4';~es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: LJ Ilo expiration
Authorized State Agent:: Q.6*6 Date: °111 0 _ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of onne" its. The permit holder is r ponsible 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 Perm" 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 T0:
PROPERTY LOCATION:
SUBDIVISION
LOT # 1341
Facility Type:
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi
xtures? ❑ Yes No
Type of Wastewater System" 9v mW ) c
3~5°151 VADvcf~ 10 r, 5-)::~6_11
(Initial) Wastewater Flow: 3~d GPD
(See note below, if applicable _
4V MQ N Q
'3 /G ~oCKII,' N (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size s aC~ gallons
Exact length of each trench tgC) feet
Trench Spacing: Feet on Center
Pump Tank Size c CC7 gallons
Trenches shall be installed on contour at a
Soil Cover fa inches
Maximum Trench Depth of: 14C 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
Aggregate Depth: inches above pipe
Conditions:
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: / undeatand the system type speciled is different from the type soeciled on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject t lion if the 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
constructioo nutnonzanon is
to
and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent: ` Date: 04 7 31 1C
Construct uthorization Expiration Date: r
HTE# \O~S-ate Z P 't # "I.L?
PROPERTY LOCATON: C~P2~S
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: `v t IV62 `~C)LK`~~ti ~ ate: 13 )
a y
qs'
-0vC-7,c
rv
I
V
V
ermi
Harnett County Department of Public Health
Site Sketch
l-) f
L... 00c,w C'r,'!q 0(4
14
Department of Environn Mt, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
sOIIJsuz zynwiOft
for ON-SI Z WASTZWATICR SyST>EM=
Sheet:
Property ID:
Lot Y:
File M:
Code:
Owner: Applicants
Address Date Evaluatexi:
Proposed Facility d---,) v~ Desip Flow (.1949r Property Size:
Loc don of Sitx Properly Recorded:
Watex Suppl Pubis ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluadca Method: Auger Boring ❑ Pit . Cut
Type of Wastawatesr: Sewage ❑ Industrial Process Mhect
P
R
O
P
SOIL. MORPHOLOGY
OTHER
1
L
.1940
L
f
.1941
PROFILa FAt'1'OR3
aw
umQe
Horizon
1941
S
M
Posidod
Slope A
DqA
(IM)
.1941
SM
N
d
.1941
Sam
143
.1956
.1944
ProAe
Ua
r+
Ted
Camistmq
Mhuralo
We4~d
Color
sod
A
Sam
ReAr
c!"
L s
,N.
-N
Clan
Harks.
LIAR
a-aa
tc)-i rz 7 L ~-Y)
PS .S
Site Clasi Raton (.1943 ~5
m~ as _ 2 Eveluesed By:
3 Othas pmnt