IPACHTE# 10- --~49 us Harnett County Department of Public Health 26234
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: qt, EE ALO t-p''~Es
ISSUED TO: "C4 y ry I-J Co S ~ttwG.';1 o N SUBDIVISION Cp,-,EaDe.t P i N Ez LOT #
NEW X REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 F S~ ~3$ ~1 y y'
Proposed Wastewater System T pe: Ca 4v er- to rv-K L_
Projected Daily Flow: 3~a _ GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes '~<No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well I a0 feet Permit valid for five years
Permit conditions: ❑ No expiration
Authorized State Agent.: \ N ' Date: S1 1,31 ie7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit hol er is r ponsible 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 Improvem t 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: C'N~snucrtoN PROPERTY LOCATION: ~uF LC, 1_o~-Es R~
SUBDIVISION cpf-E" t-J N LOT # 9
Facility Type: 5 FD(3$ X Z' New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Cr.10 t-1'J C rr p.(_ (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
Cam, V C (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 oeb gallons Exact length of each trench sSO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 1-:L inches
Maximum Trench Depth of: 2-Ll 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: a inches above pipe
(onditions: ):I 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: l understand the ystem type speciled is different from the type speciled on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca the site 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 sub' compliance the of Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t) 1~ 0
Constr n Authorization Expiration Date: 3
HTE# d - 5 -~-t'►°1S Permit #
Char sett County I }c'pallineut of I'nblic livaltli.
site sketcli
PROPERTY LOCATON: ~uPa o LA`GE~
ISSUED TO: rv L-C\ N SUBDIVISION C AmE~o N l NE:s LOT #
Authorized State Agent: R o~~Vffi-~t'F~od~r Date: ~3 EO
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Dgattment of Ewamnmenk Health and Natural Resources
Division of Environmental Health Sheet:
sheet ID:
On-Site Wastewater Section Lot Property
SOHJSUZ 19YALUATION File
Code:
for ON-SITZ WASTZWATiEBSYSTI
Owner: Applicant:
Address Date Evaluated: g>~~ ~Q
Proposed F=Wtl►: 3 8 ~ Design Flow (.1949.30
Property Size:
41
Location of Site: Proper}jr Recorded:
Water 3uppi lit: ❑ Individual ❑ Well ❑ Spring ❑ Other
Evduadon Method: Auger Boring ❑ Pit Cut
Type of Wastewater: sewage ❑ Industrial Process Mixed
P
R
O
P
1
9
4
1940
PosideW
Stops %
G /
ate! 9
arhum
Depth
(1a)
`
OtL NIMHOLMY
.1941
.1941 .1941
StucumW Comirtmm
(~Tem" Minnb, y
QO W V 1f~LJ
1943
soil
Webmw
Color
THER
PROFILE FACTOR
R
1043 .1976
Soil Sepre
IN. Class
1944 Prot1l.
Raw om
Harts. ALTAR
Z
6g
5~
site C1auificadon 1948)_a
Evaluated By:6\
Others Present:
U