IPACHTE#1Q-S-a s~0 Harnett County Department of Public Health
Improvement Permit 2 6 3 6 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0005 VID
ISSUED TO: -YN (11'% L-5 75: p,G`<-S0 cwt SUBDIVISION ~,ot.ocy~ o,L V\ 1 i-L6 LOT # LVJ
NEW REPAIR E~ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type: CQ N J S~nc; \o m s>.L
Projected Daily Flow: 3 ® GPD
Number of bedrooms: 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: ❑ Community Public ❑ Well Distance from well k CXd feet Permit valid for.
Permit conditions:
,Five years
❑ No expiration
Authorized State Agent:: ~ Date: l1~lb,i® SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a her permits. The permit holders resp nsible 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 Improve ermit 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: Z~PsmS~s 7K Pic `~ScS t.1 PROPERTY LOCATION: ® 0 CS Q~
SUBDIVISION Cc»..ocv\D.e.. \l1L®.;, LOT # ~AA-
Facility Type: ~~c C~ `31'i x New ❑ Expansion ❑ Repair
Basement? ❑ Yes >R No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** C-0 A-4-4 Etv o N P.L (Initial) Wastewater Flow: 140 GPD
(See note below, if applicable
C~-=v,t E,rt~ \v s3 NL- (Repair)
Installation Requirements/Conditions Number of trenches - 1.11
Septic Tank Size S o c~ c~ gallons Exact length of each trench w7 S feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: r~. inches
Maximum Trench Depth of. 1q 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:
inches below pipe
Aggregate Depth: a inches above pipe
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: / understand the system type specified is different from the type speciped on the app/ication. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocat on i to pla 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 subject to compliance +Lhh the,4rooisiom f Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RG-l~S Date: S\
Const ion Authorization Expiration Date: _
HTE# 10 S- a~ S~ b
Permit # x6362
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: ~:)o C.5
ISSUED TO: J?t~C--s sa c~a.1 SUBDIVISION \A-, ►-ts LOT # t-l~b
Authorized State Agent:
(%L)V(:lL N0VX--A'D6 ~Date: \01C)
V-76
eJ vw) v ),N (y
Department of Emrironment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot:
SOII/sm EVALUATION File €
:
for 014-SITE WASTEWATEIt SYSTEM Code:
Owner. Applicant:
Address: Data Evaluated. 1) ; )Z a
PrWOWFacilit3r. 34gjczon,s-, Desip Flow 1949): Property Size:
LocatiorE of Site: Property Recorded:
Water Supp. Public ❑ Individual ❑ Well ❑ spring ❑ Other
Evaluation Method: A
LA, Boring pit Cut
Type oP Wastawater. Sewage ❑ Industrial Process U Mixed
P
R
O
P 301L MORPHOLOGY pTMX
t 1940 .1941 PROFIL$ FACTOR
L Landmp• Honzomm .1941
9 Posidod Depth
.1941 .1941 Soil 1§43 .19?6
A Slope % (IM) stuctww Conilrtem wetn"W soil SWO
T•~durt Ntmm~lo Color IN. Clan
0 Proms
Re* clue
Hons.LTA>!
~ w
O -36 s'1'`vs~
S
IX f
I J
3d ~ sr-,
v
v t+1
"0
J
s o- G 5 vF~ ys1~q
,Rat Q ~
G Q_Lvi 11 -,U 1N?
s~
Uk ~x
Dema'ipdom Initial Repa$ rtem Other Factors (.1946k
S
Site ClauiEcation (.1948k P~
Avmi4bl• 9 qp ,1943
9 et•ra • c Evaluated By 4\
sit• LIAR Others Prexne