IPACHTE# 10-5Harnett Lounty Department of Public Heat h
Improvement Permit 2 6 2 0 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a W`) a.77-t
ISSUED TO: y~ N C-0 r s N CLV G-G IL N SUBDIVISION 1 tN t;EN Qor -N(-- LOT # yb~
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF~ cr o'&S oC ) QA-GAT Qa-fl.N H (_N ELO ~s 1 %)<,K\ ED
Proposed Wastewater System Type: IPUnni to c`~i5%
Projected Daily Flow: 3ta ® GPD ®a 9a.9 05, L. ~Ervt~ ®F~ wy` ie"o ~tZN
Number of bedrooms: 3 Number of Occupants: 4, max -
Basement ❑Yes 'XNo ~4c ~t_L- \ F~\G .
Pump Requiredes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 't d feet Permit valid for: Five years
Permit conditions: _ - ❑ No expiration
Authorized State Agent:: rem ~~~~~5 Date: a-1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan of other permits. The permit hold r is resp 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 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: ~3yN~ ~s~'sc2ucsSS~sJ PROPERTY LOCATION: \4W--t3'-1 W
SUBDIVISION i,,-G 0 tiN~E LOT # )i b$
Facility Type: x5~~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** PutnPTO --S°/o 40 vGr,1 U sa 5Y57 Evc\
(Initial) Wastewater Flow: ICJ GPD
(See note below, if applicable ❑~Ume-'70 P~.0.01J(-N-\OvJ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ti"d gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size 1_ o gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. t 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: t1► N to u m c r- ~,s ~`l C-~2. t2,G C V~~ ED C~y C C)Q.M ► t"1Ea-D inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type speciped is di/ferent from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjec o revocation it 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 compliahQ rovisi of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: , 1\
ction Authorization Expiration Date:
HTE# 10-5 Permit # art,3-0-7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1 x-1 V-j
ISSUED T0: -1 ~~fl cJ SUBDIVISION ___:~~sv~E+y PONNltZ LOT # l0~
Authorized State Agent: Atl- 5 ~-),1G(L"S'0L`-ZD13 F).Date: C1 i~~l\
} o a.~
L dQ'
33~
G O uo c0 u a:-,
Department of Environmenk ' lth and Natural Resources
Division of Environmental Hea.,a
On-Site Wastewater Section
SOILdSITE EVALUATION
for ON-SITE WASTEWATEIR SYSTEM:
Owner. Applicant:
Address: Date Evaluated: ~
Proposed Facility? M Design Flow (.1949): 36 , 4 P?`
Location of Sits Property Recorded:
Watts Suppiy; ( P,,,, ❑ Individual ❑ Well
Evaluation Method: `Auger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Wustrial Process ❑
Shed:
Property ID:
Lot:
File t#:
Code:
Property Size:
❑ Spring ❑ Other
cut
mixed
P
R
0
F
1
1940
OIL MORPHOLOGY
.1941
THER
PROMIA FACTORS
L
9
N
Lmdampe
Positiow
Slope %
Horizon
Depth
(1m)
.1941
Sbuchtnl
Texh"
.1941
Considem
Minm1o
.1941
soil
we" ad
Color
.1943
Soil
1N.
.1956
Sepre
Clap
.1944
R t*
Hobs.
Profllti
Can
iM LTA*
C3°~~
J-~
sue}
E 315
~~N~- <
bras 9
. r-
? ,
SQk
~s ) f
C5
= L
v
era-
7wilables pdon banal Repair Syrten Other Factors 1946k
s er site Classification (.1948XR5
as ,194! Evaluated l3)t: ~
s J Others Prexnt: SitAR , A
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wlx-
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XLEVATIOIL
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