IPACHTE# 1b ~~aSl a Harnett County Department of Public Health
Improvement Permit 26271
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 R O
ISSUED TO: SUBDIVISION ?A7 co rah Qc t LOT # '20
NEWX REPAIR EgANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'S 0 ~"Lt3
Proposed Wastewater System Type: (L3c-.1 V-_r \ 0 t c~, L-
Projected Daily Flow: LA-Z to GPD
Number of bedrooms: "i Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 b O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: 1E'V\ Date: _ °►1 aN 11o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the istprroveemente ermits. The permit holder is re 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 hall 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 T0: )I I- L_
PROPERTY LOCATION: 1 i
SUBDIVISION t~o~vs dt LOT# Yd
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'IS\ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C-0 -4 (Initial) Wastewater Flow. 4 GIRD
(See note below, if applicable
CO 4v cs t`f L (Repair)
Installation Requirements/Conditions Number of trenches ►
Septic Tank Size I
gallons
Exact length of each trench D~l 0 feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover 1a41► inches
Maximum Trench Depth of. 3,li3(z, 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:
h. TDH vs.
GPM
fO inches below pipe
-
Conditions:
c~ . ; E
yCa- } P~~I a Q-1 W- v4Ept;3
Aggregate Depth:
~ inches above pipe
I~ 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 spec112mions of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca" site Iat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is s ompliance '
rove cos and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
wl~
Authorized State Agent: Date: `T Z 18
Const kon Authorization Expiration Date: `S
HTE# 1 0 ' -a-S7 )IQ Permit # 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ` N ~.S=r}
ISSUED T0: SUBDIVISION Pa,-ro ti-S P~, S LOT # 8C7
Authorized State Agent: 4 ~-w r~ Z c Date: 1711 a t } d
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Department of Environment, Health and Natural Resotuees
Division of Environmental Health
On-Site Wastewater Section
SOIZJSrM EVALUATION
for ON-,SITE WASTZWATgi& SyST>CM-
Owner. Applicant
Address; Date Evatuattd: Ja)
Proposed Facility: c ?-EvQoo} Dedgm Flaw (.1949Y. ~3C5 ~o
Location d Sitar Prop, Recorded:
Watet Supplj lit ❑ Individual ❑ Well
Evduadon Method: Auger Boring ❑ Pit ❑
Type of WasWvater: Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File a:
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
l
1940
OIL MORPHOLOGY
941
THER
PROM PACTOR3
L
9
N
Lgape
PotidoW
910" %
t-s
Horizon
Depth
(1a)
.1941
Struch"
Temnn
G s
.1941
Considenn
Minnlo
a~nl
.1941
SON
We4tenl
Color
.1343 .1916
sod S°pre
Dild IN, Clam
.1944
Re*
Horiz.
AV&
clam
R LTAX
6
G
s
~ Np
G
s
V<k 4"e
6's rr
3
'
G
vac, c~
S
KOI yY°►+m Otha Factors (.1946X
Site CluAdcadon (.1948) 5
Evshated B)
X Othas Pnxnt
I Al a e a t\"
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