IPACHTE# 10 -5-2531u
Harnett County Department of Public Health
Improvement Permit
2 6 2 $ 6
A building permit cannot be issued with only an I
m~rovement Permit
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PROPERTY LOCATION: P~ 2G Z-aNE R~
ISSUED TO: t NI--C, C-_a,^,o N
~ 9.5( 10
SUBDIVISION MHwf-or4 )r~o ft r
s
NEW REPAIR ❑
EXPANSION ❑
(
'
-
t
LOT # 3
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: JW V\ R ~ 4
rn!,
1i6
-
7
Proposed Wastewater System Type: C-0",rru-xl~ \ o ter Q,L
Projected Daily Flow: 3 G,
GPD
N
-
umber of bedrooms:
2:P
'
Number of Occupants: C'
max
Basement ❑Yes
>00
'
Pump Required: ❑Yes
XNo
❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ❑ Community
P
' Public ❑ Well
Distance from well 1 C)U feet Permit valid for
Five years
ermit conditions:
❑ No expiration
Authorized State Agent:: \NS Date. 1 d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department it no way guarantees the issuance of o ermits. The permit holde 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 Improvement Pe 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, .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: ~Efz rv o ,j C> CZ5 r, ,J
PROPERTY LOCATION: ';i:' 124--- "A 6- '~_D
SUBDIVISION 5 T- ec, t"J 'A t~,rzQ LOT #
Facility Type: (1L --2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ',No
Type of Wastewater System" Co r.,v C-_ r-,A-N \ CJ N P+ t - (Initial) Wastewater Flow: 3=~ GPD
(See note below, if applicable
C Ort.t IF_-T \_0(Repair)
Installation Requirements/Conditions Number of trenches H
Septic Tank Size 1 O t5 6 gallons Exact length of each trench (0 o feet Trench Spacing:
feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 'Eb'~.L} inches
Maximum Trench Depth of. `~'3 Co 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
Conditions:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
mches below pipe
inches above pipe
t inches total
If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specilcations of this permit.
Owner/Legal Representative Lure
This Construction Authorization is subject to revoc
Construction Authorization is so compliance
Date:
or the intended use changes. The Construction Authorization shall not be transferred when there i
and Rules for Sewage Treatment and Disposal and to the conditions of this permit
a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
Authorized State Agent: ~H
Date: 1 a la ) o
Construe Authorization Expiration Date: l
HTE # 1 C7 - 5-3 31 ti-} Permit # 2,;A ~
Harnett Clonnty Department of Public Health
Site Sketch
PROPERTY LOCATON: ~1(1C_ 1 R.v
ISSUED TO: t-ce N a a ~.1 SUBDIVISION SNA }Na24~5 LOT # 3
Authorized State Agent: aErS ul NNI 'L'C 01-Y-51OR Date: 40
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To
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Secdon Lot M:
SOIIJSTTE IiYALUATIOIY File M:
r- Code:
r O""Oi
l
& WAS'T15WATZR SYSUM,
Owner. Applicant
Addre=
Date EyWhated:
Propo'50d Faeality; 3 ZED c
Desigp Flow (.1949): 36<j~e
Property Size
Locadou (Sit=
Ptvpert~r itecorded:
Watee Juppij
l ❑ Itldividual C] Well
2pa
❑ Sp~g
Evaluation Mtlthod:
Type of Wastewater:
T
Auger Honing ❑ pit
S
~
ewage ❑ Industrial Process
lWxeot
P
R
O
F
t 1940
I
SOIL NORPHOLOOy
OTHER
L
[an~bcap Harisos
1941
p
RUFtt g PAM
E Po~itiod
DPA
M Slope `A 00
1941
.1941 .1941 SOU
St
f
143
wWo
ComtOe M webmw
'
'
sod
Terre Minenk color Dic
`36 ! ~Z sc1~ C ct -56L e
p -3a 5 VFq Nt,),4q
V Q_
~ map"w 3y.~m Othar Factors (.1946k
ems-"' Site Classitication 1940X
Evaluated Br.
:
Othem Prex~
❑ Other
1916
.1944 IWO
Re* Clio
Hons. A LTAl1
P~ S
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