IPACHTE# /C)°S- A-rJ_Z0 Harnett County Department of Public Health
Improvement Permit 2 6 3 0 7
A building permit cannot be issued with only an Im rovem nt Permit
PROPERTY LOCATIO
ISSUED TO- _ c ttt_r SUBDIVISION 2.r ~ LOT # C
NEW [7' REPAIR EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F X-4- ' °(o
Proposed Wastewater System Type: C,\y-,k Ll A b
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 21ko
~
Pump Required: ❑Yes I:] No Aa a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Li!f Public ❑ Well Distance from well feet Permit valid for: E Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: / Date: /o4I SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health Department in no way guarantees the issuance of other 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 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: &Z A, 2 ms=s. U,,,
.~'4
PROPERTY LOCATION:
_F -
_
SUBDIVISION r%1~.,.=4..!Z-1 LOT # c 3
Facility Type:
L5'f New
❑ Expansion ❑ Repair
Basement? ❑ Yes No
Basement Fixtures?
❑ es
❑ No _
Type of Wastewater System"
C. cA sr
C ° c ~
(Initial) Wastewater Flow: GPD
(See note below, if applicable
y
CC'A f}C..-4--`- t .k' (Repair)
Installation Requirements/Conditions Number of trenches -
Septic Tank Size 1+000 gallons Exact length of each trench a5_0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 16, k inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: 06(-
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C9 inches below pipe
Depth: inches above pipe
d inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryttem type rpeciped it different from the type speciped on the application. /accept the rpeciTcationr 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 chance in ownershia of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:- Date:
cy _
c. /a
Construction Authorization Expiration Date: ,'c 1 r J,
cl --p ~ p " Q~ e
HTE# / Zl~i`2--c' Permit # Q?
Harnett County Department of 1--U)lic Health
Site ketcll
PROPERTY LOCATON:~ k
ISSUED T0: SUBDIVISION LOT
Authorized State Agent: o C;"' 16- Date: ej
f
6
1$~
P
41 c,~ck -
Department of Environment, Health and Natural Resources
Division of Fa vironmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATEIIrSYSTEM-
Owner Applicant f
Address:
Proposed Facility:
LocWoa of Site:
Watts Suppi r,
Evaluation Method:
Type of Wastewater:
Date Evaluated: /1 ID
Design Flow (.1949):
Property Recorded:
Sheet:
Property ID:
Lot
File
Code:
Property Size:
H,7bfic ❑ Individual Well C1 Spring
uger Boring ❑ Pit cut
Sewage ❑ Industrial Process ❑ mled
❑ Other
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
L
.1940
LXWBMP
Horizon
.1941
PROFILE FACTOA3
9
a
Position/
91gw %
DV*
(IM)
.1941
sb
"
.1941
.1941
soil .1143 .1956 .1944 Frotll®
uch
Tendon
Considem
Mtnaralo
wet ud soil sq" Reatr CAui
Cola
LN
/ .
fie-' -3 Z
a =
v 1f
~t/1R/~
-
. Clap Hons. A LIAR
Ju
Q41 I
VA W~/rl- T
L
® Repair sydam Other Factors (.1946)
m Site ClaWcad(n (.1948) f
L) c' C.L ~ Evaluated By P"
T --7; - Others Present