IPACHTE# 10-s-as►~3 Harnett County Department of Public Health
Improvement Permit 2 6 2 7 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ NL-.P 1ry~
ISSUED T0: MSQ Co d s C cLV C,C 1 o td
NEW SUBDIVISION F- 51 ) -C LOT # "IC)_
REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO ~t'11 x51
Proposed Wastewater System Type: C,o r ,v s= s o p~1
Projected Daily Flow: 3~d GPD
Number of bedrooms: 3 Number of Occupants: A~) max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No "'KMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -5K, Public ❑ Well Distance from well 10 C) feet Permit valid for..five years
Permit conditions:
❑ No expiration
Authorized State Agent.: ~S Date: lb s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o r permits. The permit holder is sponsible 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 tht 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:
C`~SQ Co 4-t, ; czvcr, ~ O N
PROPERTY LOCATION
P
'P
a
:
.
..N
Facility Type:
C~ s1`"1rrC
5R-C)
SUBDIVISION -7),E LOT # `A Cl
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I:iNo
Type of Wastewater System** CotJ.►w.r-T~oi`r (Initial) Wastewater flow: 3(o 0 GPD
(See note below, if applicable
C.d cv ~ ~ T` ° N P. L- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t oo b gallons Exact length of each trench ► 5 o feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ate- inches
Maximum Trench Depth of. 34~ - )'*0 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: S inches total
WATER LINES (IN(LUDING 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: / undeatand the system type speciled is different from the type soeciled on the app/iwion. / accept the tpecilcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev 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
Construction Authorization is subi (to complianc ith the r ' o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: > N5 Date: ► 0 1 0 _
Constr *on Authorization Expiration Date: L . 1S
HTE# t0- 5- 63 a.
Permit # ~2- ) -6
Harnett C1ounty Department of Public health
Site Sketch
PROPERTY LOCATON: P~Lp aE
ISSUED TO: `fie ~L SUBDIVISION "5 ~~E S V then LOT # °1C7
Authorized State Agent e~ris y,Y~--ouVoot Date: ~df N n
fi A
~ n
cp,-'r,liza"y 0 61-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOLUSITE ZVALUATION
for OK RITE WASTEWATER SYSTE4
Owner. Applicant
Address Date RvahWed: q) 3 0) ~ 0
Proposed F"tr. 3 eou,,~j DeAp Maw (.1949r 36~~=
Sheet:
Property ID:
Lot
File M:
Cade:
Property Size:
Location of Slix Property plwrded:
Watdt Snppi POW ❑ Individual ❑ Weil ❑ Spring
Evaluadon Method: uger Boring ❑ Pit ❑ Cot
type of wastewater: ewage ❑ IndusaW Process ❑ Mixed
❑ Other
P
R
O
P
1
1940
OUL MORPHOLOGY
.1961
THER
PllO81[ 6 FACTORS
L
9
0
Lampe
Posidoal
Slope 9~
Horizon
Dep16
(ta)
.1941
Stuemw
Texan
.1941
Considwe
MhWalo
.1943
SON
We4red
Color
1143
soil
IN.
.1916
sspre
Cteee
.1944
Rest
Hons.
hem
CI M
A L?Alt
1
X Z- Q
o `d
s
Jc= et,4 -51 P
S
6 5
V W1, N
7 e
Mar Factors (.19464
Site clasdilcathm (.194SZ
Evahated By: ;
Others Prex*