IPACHTE# HarnW County Department of Public health
Improvement Permit 2 6 2 7 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-'>,tASG.a.4?-X>
ISSUED TO: S~J e.unL,E-- SUBDIVISION W A>_tv v~ (_'S)tO-4L LOT # VS
NEW-, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C-_O Uc)0 '`gyp
R uc«G t~ 5 r'~~ E M
Proposed Wastewater System Type: ag'/e)
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: - max
Basement ❑Yes '~"o
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'JK Public ❑ Well Distance from well 1.00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: ON SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no w y guarantees the issuance of o rmits. The permit holder is resp 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(ReguiredT 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 instalkd in accordance
with the attached system layout.
ISSUED TO: PROPERTY LOCATION: ~--p SPCS~2.
SUBDIVISION ~-tvv C G~o~ tr LOT # 11 5
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes \:4 No
Type of Wastewater System** r~~ovc.S~orf F_- S-." (Initial) Wastewater Flow. GPD
(See note below, if applicable
u 'Z-) `e, R~yc-.7c\0 N (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench a"1 0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: -la inches
Maximum Trench Depth of. k%f4-'N inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions) pa pEw~N~
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature:
This Construction Authorization is subject to r
Construction Authorization is skect to yompliance
Authorized State Agent:
Date:
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
he oro th_ and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date:
Construct ofr Authorization Expiration Date:
HTE# 1 O -~a4~ Permit # :-6--M3
Harnett County DepaAment of niblic Health
Site Sketch
PROPERTY LOCATON: 'L sP~
ISSUED T0: SUBDIVISION WP~L~y~ ~~'°vE LOT # f
Authorized State Agent:
L,NC-
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ca
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ly ! LP ~n~~ ~ -
~tor
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Date: ~o1D
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14,7
Department of Environment, Health a ' Natural Resourm
Division of Environmental Health eet
On-Site Wastewater section vperty ID:
Lot
SOEUSITE EVALUATION File M:
for ON-SITE WASTEWATER SYSTE% Code:
Owner. Applicant
Addresic Date Evaluated
PMX Facility: Dedgm Flow (.1949): Property Size:
Location of Site: propertyr liecorded:
water sup* ❑ Pub0c ❑ Individual ❑ Well ❑ spring ❑ other
Evaluation Method: Q Auger Boring 0 Pit ~
Type of Wastewater a Sewage ❑ Industrial Process Mixed
R
O
F
30(L MORPHOLOG
Y
I
L
.1940
LaW p
Hcrizos
.1941
P-
FACTORS
E
N
Posidae/
slope
Depth
(ia)
.1941
3t
/
.1941
I
.1941
Sol 1943
.1976
1941
PhoRla
raetun
Tem"
Conwdsm
Mhmlo
Weteeuf soil 3"m
Color
.
Rear
Clt+M
5
vt<z Nj1ti
_NAA
QY. Clue
Harts.
A LTAM
s
js ~
0 -~9
G
~r) -30
s
P5; y~-
Wtr Factors (.I Mx -
Site Classi8cadou (.1940 P5
Evahated By: d
othm Present