IPACHTE# I ®~5' I Harnett t ounty Department of Public Heaun
Imarovement Permit 2 6 2 0 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N ) a-I
ISSUED TO: 'V4tic~cr( (-OcJ~ScLucg\ 0 N SUBDIVISION -7-1r6E+v 9ON ns:E LOT LO
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S(5~ LEO nS`0 HraN9 '2 P..a~~ Lu) A2 ~P~ Ps
Proposed Wastewater System Type: PU rn 07-6 '4SO/m Rk-lo v c'C ~n 0
Projected Daily Flow: 3to® GPD dtj Y Qo9 CDAC..- . V&mr-E. ~ TF IDQ aN 75 E.-i'o 2~R
Number of bedrooms: 3 Number of Occupants: '~D max - a--
Basement ❑Yes ~<No
Pump Required:-AYes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
r(10 M L.).- a.ii:>,~-- c=-\ C/.
❑ May be required based on final location and elevations of facilities
.,Public ❑ Well Distance from well 0) 0 feet Permit valid for
Five years
❑ No expiration
Authorized State Agent:: Date: -7 i~ XO SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er permits. The permit holder is respo sible 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 TO: W Yt4ty CONS-<a v C_" T) d N PROPERTY LOCATION:
~ SUBDIVISION -C i 4 b a'C tr, LOT # ltd
Facility Type: ~W C6c~rx5'C7J X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** PO mQ 0 c, V NQ',, S' -JS- 'I- (Initial) Wastewater Flow: 36,0 GPD
(See note below, if applicable
Pu vc*-70 SV , ~~oyC-~~O1-4 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 Q(::) gallons
Pump Tank Size ti pOC) gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench S
Trenches shall be installed on contour at a
Maximum Trench Depth of: V%-
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: 9 Feet on Center
Soil Cover: C, inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: M I tv',r-,,v M o-' C" o ~o~tC 0 G-60GO 0'g5x - Za-A",ns Y1EW
inches below pipe
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 application. / accept the speciTcations of this permit.
Owner/Legal Representative Sig ture: Date:
This Construction Authorization is subject to revocatio a site p , lat, 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 suto compliance wt they f the s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: L~
Construed Authorization Expiration Date:
HTE# qL Permit # a620q
Harnett County Department of Niblic Health
Site Sketch
PROPERTY LO(ATON: 4w- 20 V~
ISSUED T0: ~t ~ C-> > ~1 SUBDIVISIOI+(-) ),AGE,, LOT # ~G'?
Authorized State Agent: (Z(c~S ~flL' x'0 1-'500r(~ Date: _ ~t I t 1
vZ'
33a..
a o'
so' x r. cs,
i} A ~6f pr a,
AC2 C+, 1
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Department of Environment alth and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIdSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: '
Proposed Facility: ga Desigp Flow (.1949):36 0
Location of Site Property Recorded:
Water Supper; Pub1J6 ❑ Individual ❑ well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ other
cut
Mixed
P
R
O
F
1
1940
OIL 4tORPHOLOOY
.1941
1 THER
PROFlLB FACTOR)
L
9
N
Lxxbmp
Posidoo/
Slope
Harim
Depth .1941 .1941
00 sbuchow Colwdam
Tom" U' lumio
.1941
soil
We4tnd
Cola
1943
soil
MA(IN.)
.1956
Sapre
Clan
.1944
Re*
Hons.
I M10i
Clai
A LTAlk
' I
S L ~tl C'~51
1 31 C s~
CX2
Mar Factors (.1946)
Site Classification (.1948) 0 5
Evaluated By: (K
Other, Premt: t-,
a
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6
V.AL J.1 'orr
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