IPACHTE# Harnett LOunty Department of Public Heaftn
Imarovement Permit 2 6 21 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -4 '),J W
ISSUED TO: yn% -0TAt-.CLvC7 ~ SUBDIVISION 7Fvvr. 6,y X01-4 LOT # 465
NEW REPAIR ❑ - EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Ffl (EO F~ANO Cx-i ,0041,',N F,VQQ P.-5 \t,3Q1 CA-,ED
Proposed Wastewater System Type: pur,)4-'Q 2~S~o VJ~OIK-Ctot,~
Projected Daily Flow: GPD d Qa o? cr ND t~c,G 0 FC~ ~C2 P,~N , `t:t~
Number of bedrooms: 3 Number of Occupants: JZ max
Basement ❑YesVo C2x)t~. ~uuL
Pump Required:-~es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well 1.0 d feet Permit valid for. Five years
Permit conditions: - e ❑ No expiration
Authorized State Agent::~~~, Date: ❑ to SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of ormits. The permit ho der is sponsible 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 J Nov uLl3
C~1-~ flN PROPERTY LOCATION: NA
e: SC~OQJ
Facilit
T
SUBDIVISION i+ 4 r-F- f Qo~ ~►SE LOT # 10-5
New ❑ Ex
ansion ❑ Re
air
yp
y
p
p
Basement? F-1 Yes No Basement F
ixtures? ❑Yes '~4 No
Type of Wastewater System** y a ~'Ozc ZZ60c,-~\Osv (Initial) Wastewater Flow: 2r C) GPD
(See note below, if applicable
P 0 m4-50
Qi,f (Repair)
Installation Requirements/Conditions
Number of trenches 5
Septic Tank Size t o o c) gallons
Exact length of each trench 5 0 feet Trench Spacing: 9 Feet on Center
Pump Tank Size 1 DC5 0 gallons
Trenches shall be installed on contour at a Soil (over: ~ inches
Maximum Trench Depth of: t L~ 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
Conditions: ?-wbf'o 0"
Aggregate Depth: inches above pipe
94-09 C0 ~ ~UF~~GA~3 S 5 L.SS 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 spec/ped is different from the type specified on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan. Dlat or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in awnenhin of the cito_ This
Construction Authorization is ect to complian a ions a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH 'I I'N
Authorized State Agent: Date:
Constr ion Authorization Expiration Date: G
HTE# iO ' =a~`1y1 al Permit # a5 C)
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
ad
Fi o
S o~
PROPERTY LOCATON: Nti.►-i ~p W
_ SUBDIVISION "Ti NG F_, , 4O E LOT # \ 0-5_
10V
G o L~a C-c-
~~C-, `1l
Department of Environment, ' ith and Natural Resources
Division of Environmental H",n
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM=
Owner: Applimt:
Addresr. Date Evaluated: a ~ 1
Proposed Facility: % Sw4cac,,, Design Flow (.1949): 3 6 d c\
~
Location of Site. Property Itecorded:
Water SuppI t Public El Individual [I Well
Evaluation Method: Auger Boring ❑ Pit ❑
Type of Wastewater. Sewage ❑ Industrial Pmcess ❑
Sheet:
Property ID:
Lot
File *
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
1940
OIL NORPHOLOOY
.1941
THER
PROFtLdI FA iOR3
L
9
LvWkap•
Poaidow
Slope %
Horizon
Depth
(IM)
.1941 .1941
SftCftd Candateac•
TOM" Minvdo
.1942
Sad
Wdand
Color
1043
Sad
IN.
.1946
Sapre
Claw
.1944
Re*
Hans.
Protllti
clan
R LTAit
a s~'e
CD"ti~i
G Ls
5~Nq
a
DeaaiPtt~ IAittal Repair syntm Other Factors (.1946k
3 Site Cluacadon (.1949X P5
Availab 8 •a .1941 Evahuated By. CC'S'
31-d"M 7we
a 3 s o Others Prexnt:
S Nt
it• LIAR c,