IPACHTE# NO - 5-2s,-),3 } Harnett County Department of Public Health
Improvement Permit 2 6 2 7 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-PtS(NTE
ISSUED TO: U y N S u(i _E„S ~u~LoESl SUBDIVISION ~-r\ (;&o-lE LOT #
NEW-K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5C' O ( ~O `xCo4~
Proposed Wastewater System Type: `Z•5 °/o C? w~~ ~a j ~yS
Projected Daily Flow: 3G0 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: El Community Public El Well Distance from well kC) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent;: - Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o ier permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 4 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: VA Q ~w S ua.~ES 1~3 u N LOe4,L- PROPERTY LOCATION:
x SUBDIVISION by ryy C C-{zp~l~ LOT # 2_
Facility Tyne: Vfl (Or u_... r--,
Basement? ❑ Yes No Basement Fixtures? ❑ Yes '~4 No r
Type of Wastewater System** 2.5°/e Pf-ZL)ot\ 0N Sy 55 rr~ (Initial) Wastewater Flow: 2)C O GPD
(See note below, if applicable
Q,c-k RrcOUG<\ 0r' ~)S<Ern (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size s b O 0 gallons Exact length of each trench 1 5e::> feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. S~1 'ate 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. 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 rpecired /s different from the type speciTed on the app/icatiom / accept the speci6cationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 s!§~o complian the,provisio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: y ~1~s Date: \0 10
ction Authorization Expiration Date: -L
V;
HTE # i 0 - S _a31 Permit #
Harnett County Department of 1"ablic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: H U 5 u LoEtL SUBDIVISION \1 P.LN v o~ E LOT # 3
Authorized State Agent: "4 ~oy~tsporl~ Date: 10~y~1b
511'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOEJSITE ZVALUATION
for ON-SITIC WASTEWATERSYSTM
Owner. Applicant:
Address Date Evaluated:
Proposed Facer. DeMp Flow (.1949):
Locadon of Sitx Property Remrded
Water SUP ❑ Public ❑ Irldividual ❑ Well
Evah>adon Method: ❑ Auger Boring Pit ❑
Type of Wastewater: ❑ Sewage ❑ wuitriat Process ❑
Shed:
Property ID:
Lot a:
File
Code:
Property Size-
11 Spring ❑ Other
cut
mud
P
It
O
F
SOIL NO"HOLOOY
OTHER
1
.1940
.1941
PR0F1I,1 YACT0R3
L
Lnamps
Horizon
1941
E
Posltienl
bep1Y
.1941 .1941
Sod 1$43 .1936
1944 P(Wb
a
Slop" %
(la)
Stuolunl Comtdeeq
.
webmd 9011 Sgwo Reelr ONO
Ted Mlaenlo
Color IN. Clan Hods. ALTAR
C, Aq o
L355 _ G 5 z fl z sv .
0 4~ C ~ p
Tn 5)'e
7 C~ 3 Q a7~
3l `6 5~3x)~ s~ Fn 4,) {~t' ~ • ~
Site Cla"Madon (.1948) 5
Evaluated By: C3
Others PneN*
t x 1 S`~ Ca 1~7