IPACHTE# 11-s-JV-,'56 Harnett County Department of Public Health
Improvement Permit 26586
A building permit cannot be issued with only an Improvement Permit
Co PROPERTY LOCATION: 9-b 4pet2~5K
ISSUED TO: S ~U-,1;-~2VG<tC?tJ SUBDIVISION CPAQoi-;,-4 P, SC.ps0N5 LOT# S~
NEW ~ REPAIR ❑ EXPA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 (Z-0 C V. 6
Proposed Wastewater System Type: ?Q fv 0 Ala unto ~
Projected Daily Flow: GPD
Number of bedrooms: 1-~► Number of Occupants: max
Basement ❑Yes `,~No
Pump Required:'Oes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~!K Public ❑ Well Distance from well ~C)O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~ 1 t S e 1 ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ti ance of other permits. The 'permit holderle 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 Ir rovement 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: ~E5-t ~u111-'S C.0sas--CQ,>JCS)id \I PROPERTY LOCATION: ~c~~o 2c~S4~ Rs~
SUBDIVISION GP~nc~~-~^sta SGy oc~5 JOT # 59
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes '~&No
Type of Wastewater System** ~v~n4'To ""O/t, AyCrC\O~t ~,►s~G~` (Initial) Wastewater Flow: 4$® GPD
(See note below, if applicable
PQ crQ`T® ~~'~8 ~~f3yc~ 4 0 tJ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size \-ao d gallons Exact length of each trench ``1 S- feet Trench Spacing: Feet on Center
Pump Tank Size LO ® cs gallons Trenches shall be installed on contour at a Soil Cover: Ginches
Maximum Trench Depth of: 11'x-2''1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 speciped is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Sig Date:
This Construction Authorization is subject to revocation i to p Iat, 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 Rccompliance v~r he ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: s 1
Construe ' n Authorization Expiration Date: G >S b
HTE # Permit # cLCO S~9 6
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: P6t4Q xt,oS ca
ISSUED T0: SUBDIVISION Ca~a~-~~►v. ~~a~a~as LOT #
Authorized State Agent: - Lw LSO Date: )
I
i~
b Jkz.J
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot Property
SOIIJSITE EVALUATION File M:
for ON-SITE WASTEWATERSYSTEM Code:
Owner Applicant:
Address: Date Evaluated
Proposed FwMtjr, , j~gtt FloW (.1949): L~xo Pmpeity Size
Locati.Odo(Site:
Property Recorded:
Water suppCjr, ~ Public ❑ labidual ❑ Wet! ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit Cut.
Type d Wastewate r Sewage ❑ Industrial Process 0 Mixon
P
R
O
F SOIL MORPHOLOGY
1 .1940 OTHER
1941
L PROFtt.g Fq~+fOR9
Laideape Honzao .1941
B Posldoo/ Daptb .1941 .1941 soil 043 A sla" % (la.) Structuref Coedatem Wefnauf .1956 .1941 t'ho
Ted Minueto Color soil s■Pto Reatr aw .
Claw Hats. ALTAR
a G 5R~~
WW Re system Other Factors (.1946)
IN .1945 s Site CIWMcadch (.1948)
Q-5 Q v- p )-2c, Evaluated By 61
Others Preme