IPACHTE# JOHarnett County Department of Public Health
Improvement Permit 26366
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: r`1es(L .5 VID
ISSUED T0: SUBDIVISION PeS~OCLS] LOT #
NEW REPAIR ❑ EXP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S qO 1~'`'-1~1
Proposed Wastewater System Type: t^cL-
Projected Daily Flow: 3~® GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes ~KNo
Pump Required: ❑Yes ':No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -'~Z Public ❑ Well Distance from well VU O feet Permit valid for: Five years
Permit conditions: _ ~n1- ❑ No expiration
Authorized State Agent:: ~ q- &M \\'ti1\10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit holder is respon ible 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 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: PROPERTY LOCATION: MPa2x~S 19
SUBDIVISION P.-owf~~a rzo LOT #
Facility Type: 00 , New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" COK-41- U N (Initial) Wastewater Flow: GPD
(See note below, if applicable
~-ZTi-/V--rs>>tj V4
Installation Requirements/Conditions
Septic Tank Size >-®o o gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
pair)
Number of trenches `3
Exact length of each trench S-®
Trenches shall be installed on contour at a
Maximum Trench Depth of. \5
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: G.-1 fa inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
12. inches total
WATER LINES (IN(LUDING 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 spec/fled on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to reyeQdon if the site Dlan..Dlat 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 Nki%Lto compliance th s of ti ~s and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: V, `a 1
Const ' n Authorization Expiration Date:
HTE# iC 2,
Harnett County DepaAment of Public Health
Site Sketch
PROPERTY LOCATON: MA2XS RD
ISSUED TO: SUBDIVISION Ms NN oce~ LOT #
Authorized State Agent: ~S Lr4G ~(-,V~sD6 Date: \'~W10
85~
Leo'
Permit # " )46
Lac-, ~ OUC) Q(L
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot 0:
SORJSITE EVALUATION File
:
for ON-SITE WASTEWATER SYSTEM Code:
Owner. Applicant:
Addresr. Date Evaluated:
Proposed Facility: 35 DeAPMOw (.1949): 3e-0 ~ Properly Size:
Location of Site. Propertyr Recorded:
r
Wate
$upptyt; ; Public ❑ Individual ❑ Well ❑ Spring
❑ Other
Evaluation Mdhod: Auger Boring 0 Pit cut
Type of Wastewater: S
ewage ❑ Industrial Process Mixer!
P
R
0
P SOIL MORPHOt.00Y
Ol
t
t .1940 .1941
PROFILE FACTOR'
~ Horiz~
.1941
E Posi
Depth .1941 .1941 Soil .1943
b slope % (is) stuchvd Contleteaca wetea>t!
.1956
1944 Proms
Soil
Texture MimnM Color QY.
L
Sepro
Clw
Reatr Clan
Hods
A LTA1!
eo ~ ~ G 5
~
~ NS
.
S
Desaipdon ww Re system Other Factors (,1446k
s d
e
Site C1auiBcatiosi (.1948k 5
Ava1461®B Aa , t94!
S dam ' -e e-d .i Evehated By; .(3 n)3
She LTAR Others Present
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