IPACHTE# to-~-~~ Harnett County Department of Public Health
Improvement Permit
2 6 2 8 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: PoNO 5PS
ISSUED TO: C- ur
nR;a&t-e-
0 "o m-1-- SUBDIVISION C
z L
, so S6P t
6
LOT # Q
NEW
REPAIR ❑
-
-
PANSION ❑
,
6
'
Site Improvements required prior to Construction Autho
'
'
5
rization Issuance:
Type of Structure: S
0
-
-
'
Proposed Wastewater Sy
stem Type: -+'O/ R s
Projected Daily Flow:
~C7
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes -'KNo
Pump Required: ❑Yes
cK No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
X. Public ❑ Well Distance from well \O~ feet Permit valid for.
X Five years
Permit conditions:
I
❑ No expiration
Authorized State Agent.: QC^s Date: S 0 15~'G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is responsible 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 Improremen it 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, .1957, .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.v cY er--n P "o ~d crES PROPERTY LOCATION: ~tSSC.Zz-,A 'Q,D
SUBDIVISION JFp~at-45 LOT #
Facility Type: Sti New ❑ Expansion ❑ Repair
Basement? ❑ Yes '12~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System" a5% ~u(2 <sQ1 v S-p E~ (Initial) Wastewater Flow: -y-;~) GPD
(See note below, if applicable
~°lo ~Eoy~o rv S~~~E~ (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size T a act gallons Exact length of each trench 13o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3'A inches
(Trench bottoms shall be level to +1-114"
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)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATIONS 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 syrtem type specified is diNerent from the type specified on the app/icatiom / accept the speC&X? ionr of thif permit.
Owner/Legal Representative Signature: Date:
This Construction Authorizations- 'ect 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
lenStru11011 Authorization is s~QL- - t(I compliant - isions'~e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ef- H5 Date: S o 5
Const ' n Authorization Expiration Date: 1 c)
NTE# Permit # a~ d
Harnett Comity Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: Cv M A fl ~`1E5 SUBDIVISION Pita t~gyp. o LOT # 1
Authorized State Agent: L1V 4L`K50~7C~ Date: i
i fLF.P 2.
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1
f I
C
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Department of Envimnmenk Health and Natural Resources Sheet:
Division of Environments! Health Property 1D:
On-Site Wastewater Section Lot
SOEu3r Z &VALUATIONI File
for ON-81TIC WASTIWATER SYSTIM° Code:
Owner. Applic
Adds= Date Evaluaje&- i ~ 16
PMX=d Facdlity: 3 -3z 0 h y DcAp Maw (.1949Y 3 Lc Property Size:
Locadon of Sher Property Recorded: J '
Water sup* Publk ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluadou Method: Auger Boring ❑ Pit CIA
Type of WastewatW. ewage ❑ Industrial Pmcm Mb"
0
P
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L
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SOUL MORPHOLOGY
OT
.1940
L Aubm"
Haizoe
.1441
HER
PRO PAC
PolNosl
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DP*
.1941 .1941
.1941
Sod
;t
l
slope
A
(ht)
studww ComldmW
We%"
soil
Teen Mitwnb
Color
p~
1x~ao ~ 30 -t~4 '
Other Factom (.1946)
Site CIAWHcatlou (.1948 S
Evehreted By.
Others Pn t
.1956 .1941 P1ro&
3epro Re* Clm
Clnr Haft. A LTAM
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