IPACHTE# Harnett County Department of Public Health
Imurovement Permit 2 6 3 7 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: pEsaG~ ~t~.ci,.,
ISSUED TO: ~P way "d r-A SUBDIVISION LOT # NEW 'K REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF0
Proposed Wastewater System Type: R,c0uC:')Q0 Sv3
Projected Daily Flow: GPD r1IN't'" O'n P LtLz i°`1.SF- 9C.51G0
Number of bedrooms: Number of Occupants: y max
Basement ❑Yes X No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 ~O feet Permit valid for: Five years
Permit conditions: _ c \ ❑ No expiration
Authorized State Agent:: ;4-- ' -0Date: va.N3~\(3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance otB4 her 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 T0: S-~C S~LMa N PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes "?~No
Type of Wastewater System' il-r-ovc.-'~Nd A S-Y5, 1 GM (Initial) Wastewater Flow: GPD
(See note below, if applicable
2-.S°l• iZ.Covc-s \ S3 ;-a Sys ~G~, (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size >-oGO gallons Exact length of each trench at feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: \R , ZQ;,,
Trench Spacing: feet on Center
Soil Cover: - l~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 system type specified is different from the type specified on the app/ication. / accept the specillcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i 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
Construction Authorization is subject to compliance with th igyisions~ he Law d Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 Z C'
Constructio horization Expiration Date: ~a~3
HTE#
Permit # `a63`1
Harnett Connty Department of I'Tiblic Health
Site Sketch
PROPERTY LOCATON: PGn cl~ {z,~,
ISSUED TO: `J C.P~~ Sp, d SUBDIVISION LOT #
Authorized State Agent: ~S -~uCsi Toaus9o~~ate: \,431 ~0
a-O
P,G2E.S
9 E N L~ FARm Ct-0
Department of Environment, Health and Natural Resources Sheet:
Division of Eavironmentai Health Property ID:
On-Site Wastewater Section Lot
File
SOMME EVALUATION Code:
for ON-SITZ WASTEWATERSYSTEM-
Owner. Applicant:
Address: Date Evaluated: a-~ 1
Proposed Facilit)r. 1 DeAp Flow (.1949): a~0 d Pmperty Size:
Locations of Site: Property Recorded:
Water Supple; Public' ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: 4Auger Boring ❑ Pit cut
Type of Wastewater Sewage ❑ Industrial Process Mixed
P
R
O
F
SOIL NORPHOL00Y OTHER
1
.1940
1941 PROFtLB FACTOR,
L
Laadaeapa
Hasizaa
.1942
9
N
Positied
Slope %
Depth
(ta)
1941 .1941 Sail t~43 .1996 .1944 promal
l
St
rucwrt
Combtem Wem"d soil SgWQ Re* clam
Teldure Mtnaralo Caton IIY, Claw Harii
R LIAR
ate;
.
G Vr-ti 6l+~Q
1 a°
~ ~z t~?
~cL s5~5 f ~0 ~ 9- °~h ~.3 ~ uS
It
G M
G
\K N5)
tr~-a6
~~zs~
~ .s
0- i t
C 5
Vrt=rti J".
1~1°
5~~ SGL
fl
~1 S kj d►..~~C'iLUI j~
.-i e1
~ 5
P
C- .5
~ k Cs S v^~t J-6)
YL L t €ZL S-5/-5e vo 6Z- -7 e 7u i,
eriptloa laitW Ro system Other Factors (.1946) 5
s Site ClaaaiHcatlon (.1948k~3
ilabb 9 as 1945
Evahwted By:Q'C
erA ® '~i w~tS
LTAa t; Others Prexnt: