IPAC RRHTE#01--(~;-~GS~lQ2 L Harnett County Department of Public Health
Improvement Permit
2 6 4 6 4
A building permit cannot be issued with only an Improvement Perini
~j
PROPERTY LOCATION: 1...~~N~.~
ISSUED TO: r- T-4
'
Cli ri-sr-N g~
SUBDIVISION 5 u srM x
LOT #
NEW
X REPAIR ❑
'
`
~
_ EJNSION ❑
_ A"
P
Site Improvements required prior to Construction Authorization Issuance:
0
6
3
Type of Structure: 5F
~
'
Proposed Wastewater System Type: Ca Nv r- t3' \ y N >,L-
Projected Daily Flow: 3(D®
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
_5~,,, Public ❑ Well
Distance from well l OQ feet Permit valid for
' Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: _a1 1-0 1) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permitr. The permit hold* is res 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 Improveme 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, .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: Y.~cvrsE~~1 CA ) (-orr-8 t; 5 PROPERTY LOCATION: ~XL?NA►p. Q_
1 SUBDIVISION S U rr, m ~-C LOT # 1123
Facility Type: CC~3 xyU'~ A New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑ Yes 'C50o
Type of Wastewater System** CXN -4 Ers-5-, 13N 9,L.. (Initial) Wastewater flow: 3-1G V GIRD
(See note below, if applicable
C.t~Vt rf `ci tv KL- (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t o ® ® gallons Exact length of each trench 1 4;;'C7 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. °3b- r-,' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c 1 Feet on Center
Soil Cover: 21'+ ' inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
1'D- 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 sub' revocation if the 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 ie ~ 'ons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: ~CNS Date:
SEE ATTACHED SITE SKETCH
ction Authorization Expiration Date: 1b
H T E # 01 - - Jr=Sa112.Q- Permit # a ~L-l
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C dQ..
ISSUED TO: M MlN fo5 SUBDIVISION LOT #
Authorized State Agent:-1'+/L i0~-Dt Date: ~t1~11
x O~~
r
01
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11r~`af^tZ.1.1~~ '{~2
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOMSITE EVALUATION File
Code:
Por ON-SITE WASTEWATER SYSTEX
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: lt~ trn r~ Design Flow (.1949): 3C 0 s
Property Size:
Locadoa of Site: Property Recorded:
Watet Sirppi r; Public 0 Individual ❑ Well
❑ Spring
Evaluation Method: Auger Boring ❑ Pit .
Type of Wastewater: j,S
❑ I
d
Cut
ewage
n
ustrial Process
Nxed.
P
R
O
F SOIL MORPHOLOGY
OTHER
1 .1940 .1941
L L
k
PROFILE FACT(
an
e" Horizon
E PosiNow Depth .1941
.1941
.1943
sail
1§43
S1gm % (10 Structure/
Conrlrtem
wetned
.
Soil
Ted
Minrnla
Color
IN,
P- I 10-Al l G 5
V pct s~s5l t~~l
Site Classification ( 1948):5
Evahated HynT
Others Ptexnt: -
❑ Other
.1946 .1944 PMMO
sapre Reatr Clue
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