IPACHTE# 11-L) Harnett County Department of Public Health
Improvement Permit 26391
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NGJ-1-)(7)
ISSUED TO: (:o~r'S ~N Cs SUBDIVISION LOT #
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5FO (Gct''~
Proposed Wastewater System Type: D-5"la 4ZZ-auc,.:c 1 0 N
Projected Daily Flow: W'$ 0 GPD
Number of bedrooms: L-1i Number of Occupants: q~ max
Basement ❑Yes X No
Pump Required: ❑Yes ~S No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Well Distance from well MO feet Permit valid for: =Five years
Permit conditions: 1"
❑ No expiration
SY:,-r-, --s-_°~.t:o ~ocsd~ la a0'4ar,S
Authorized State Agent:: \ 'Q-61X5 Date: X61 1? j SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i f other permits. The permit holder is fesponsible 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 Improve nt 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: E)-t) t" C. PROPERTY LOCATION: 1,N C. 0 5a u , L
Facility Type:
SUBDIVISION LOT #
S~flCG`~~"~~~~ New ❑ Ex ancion ❑ Re air
Basement? ❑ Yes K '
Type of Wastewater System**
(See note below, if applicable
p p
No Basement Fixtures? ❑ Yes A No
®~O 1z~ yc"7 )o N syt;'er- (Initial) Wastewater Flow: "A"30 GPD
QGou) get SysS'V--rt1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench t t-40 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: PtISeS ON 5iTE. ~6L1OCT o ra3~Q,itiP~~o~, ~'ocz ~,~F,L inches total
O CI.SK \ $v ~i~1 d3 t -P:y 4 y ti
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 specired is different from the type speciped on the application. / accept the specibcations of this permit
Owner/Legal Representative Sign tore: Date:
This Construction Authorization is subject to revocation i Ian, 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 i t compliance with t ovisi La Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Trench Spacing: Feet on Center
Soil Cover: 1 a, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Authorized State Agent: Rz~~5 Date: ZL ki
Construction orization Expiration Date: a
NTE # 11- 5- as~`1 y Permit # a63`t 1
Harnett County Department of 'Vblic Health
Site sketch
PROPERTY LOCATON: t~ 2-10 ~ovTt-~
ISSUED TO: S-S C-,d TQPCA \N SUBDIVISION 1 LOT #
Authorized State Agent: Date: } 1 11
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot Property
SOILJSITE EVALUATION File t#:
for ON-SITE WASTEWATER SYSTEM Code:
Owner. Applicant:
Address: Date Evaluated:)
Proposed Facility: Design Flow (.1949):9--L)
Property Size:
Location of Site. Property Recorded:
Water Supply; Publlc ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit Cut
Type of Wastewater
S
❑ I
~
.
ewage
ndustrial Process [
lbfixed.
P
R
O
P SOIL IMORPHOl.00Y
OTH
ER
I 1940 .1941
PROF 19 FACTOR,
L [.arrdseap Harrzoo
.1941
4 PaeitiaW Depth .1941 .1941 sail .1043 .1956
Slope % (1n.) stn c Consideace wetn"d
.1944 NO&
TI
dm Mi»sralo Color sOR 3apro
v 5 QY• Clua
Realr Clan
Hartz. A LTAR
t
Y
a3 ~1d x- Gh
'59c C.. 'F-(l :5/ tGyQ ~~j
0-W 6 v e,~ AjF
~al(L-7\~c
D eempdon lartW Repair System Other Factors 946k
vailable s s rt Site C1 wcadon (.1948X P%
A as .194!
S stern s Evaluated By:
sha LTAR Others Present: 0