IPACHTE# t d-s-ZS-,a3 Harnett County Department of Public Health
Improvement Permit 2 6 3 7 5
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION: No cove-~r1- ~
ISSUED TO: REG 61, G \An MS-S 1 N c_ SUBDIVISION PEC1 sic .rY. a ,j N N ~ LS LOT # 40
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: C-o v~ v&- ~o tv 10~
Projected Daily Flow: 3 C.0 GPD
Number of bedrooms: 3 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 VD O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ 9..C10 Date: 1a1 1a l 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua coo er 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 Improvem t 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: 2s✓G&-J Y~ a c-,ES PROPERTY LOCATION: \v0Y&2 ~~D
SUBDIVISION 9G-16 \ rn 0 N LOT # 0
Facility Type: S q O (S"1 -<'3 6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes )A No Basement Fixtures? ❑ Yes A No
Type of Wastewater System** C.-o c.,v EN-'~ \ o N Nt_ (Initial) Wastewater Flow: 3 O GPD
(See note below, if applicable
Co T--J -'r Lr-.r-~\ D " Shy (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t o~d gallons Exact length of each trench 1 S 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:
Trench Spacing: Feet on Center
Soil Cover: I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
f 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 specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i Ian, plat a intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization ilki ect !B'~pliance with thevision3~ aws a ules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: a )rJ Lo
Construction orization Expiration Date: i
HTE# ld ° X03 Permit # `a. ~ !S--
arnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~loo~~a
ISSUED TO: R~ ~Esv c~.~ 1`v C., SUBDIVISION ~~cLs ,t-ry-N arj ~A ) ti--,-.5 LOT # 'LAO
Authorized State Agent:
Date: \a1 \4 0
OL;o ~~ELO 10oP
36'
~
V
y
C
5$
GO NVEI~S i ~G ~ AL'
2G~ q\ 2
Department of Em+ironment, Health and Natural Resourm
Division of Environmental Health
On-Site Wastewater Section
SOQJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Design Flow (.1949): 3c,,
Location of Site: Property Recorded:
Water Supply; Public ❑ Individual ❑ Well
Evaluation Method: 0 Auger Boring ❑ Pk ❑
Type of Wastewater J„ Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
Filet:
Code:
Properly Size:
❑ Spring ❑ Other
cut
mixed
P
it
O
F
1
1940
OIL MORPHOLOGY
,1941
rm
PROFU FACTOR3
L
9
N
Larwsm"
Poaitiod
slope %
Horizon
Depth
(is)
.1941
struc'h"
Texmm
.1941
Conddem
Mta~nlo
.1941
soil
Wem"d
Color
.1043 .1956
soil sq"
IN. Claw
.190
Redr
Hans.
Pro&
Clue
A LTAX
\j -rL
5~3\< Shy
a S G I-
sylrb"m Mar Factors 0 944
944
Site ClaWcadon (.19482 ?5
Evshmted B)r(3,~
Others PrexM: -