IPACHTE# 115-~ Harnett County Department of Public Health
hDrovement Permit 2 6 3 9 4
A building permit cannot be issued with only an Improvement Permit
c PROPERTY LOCATION: 6Z4~rwN
ISSUED TO: Mc0SS C,_0ee~LS SUBDIVISION Gs1¢~c>t 1 E~ LOT # _
NEW'K REPAIR ❑ €X~ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S G:S0 (~~y
Proposed Wastewater System Type: a5-/o 9-,F--a1, cs,111N
Projected Daily Flow: '3(b0 GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ~'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well I Z~Q feet Permit valid for: ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: -a- \ 1 ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holder is responsible 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: 'M oSL~ O G'Z.
tr~ ~S)
PROPERTY LOCATION:
SUBDIVISION Gca.Nvi P»G~ LOT #
Facility Type: /K New ❑ Expansion ❑ Repair
Basement? ❑ Yes V No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 2,~°!a e2vc~~ (Initial) Wastewater Flow: ~O GPD
(See note below, if applicable
°/a Q-C-o"c:< tom (Repair)
Installation Requirements/Conditions Number of trenches _/L
Septic Tank Size t 000 gallons Exact length of each trench aOO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: a 4-A 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revock6g11Jf 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 compliance with th ' ioWt,0_the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constr 'on Authorization Expiration Date:
HTE# 11--5- ~ Permit #
Harnett Connty Department of I'Vblic Health
Site Sketch
y~ PROPERTY LOCATON: ~3tZow r
ISSUED TO: i ►os v PCB SUBDIVISION ~~-wvp . Q ~a6s LOT # -r.,
Authorized State Agent:~'Y~I ~Ot-~ Date:
r
5
i
t
t
vr~Sv1aA.6L
1
Sol,- i
LA
x ,
30
J In. c-, yIN
s S'6 "
Department of Environment, Health and Natural Resources Sheet:
Division of Environments! Health Property ID:
On-Site Wastewater Section Lot
SOHJSITE EVALUATION Code:
Cod
:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant:
Address: Date Evaluated: ))I
PmMud Facility: '3 Q& Y,~ O} q5 Design Flow (.1949): `mac c1
Property Size:
Locadon of Sits Property Recorded:
WatetSuppi P1lblic ❑ Individual ❑ Well
❑ Spring ❑ Other
Evaluation Method: Anger Boring ❑ Pit cut
Type of Wastewater
S
❑ h
.
ewage
Wustrial process Mixe
d
P
R
O
F SOIL MORPHOLOGY
OTHER
1 .1940 .1941
L 1.an ba" Honzon
PROHU FACTORS
.1941
E Positiew Dvtb 1941 .1941 Soil
0 Slope % (In.) Strucbtn/ ConsiMeaee Wend
.1943 .1956
.1944 Milli
Texft~ Minmlo Colas
soil Sapre
1N, Clan
Re* Clan
Hale. A LTA]R
n
ss C~,~
~c;- 'F (I
~ _ (.y ~ VAR 9JJIy'~
e~
0 -1Z C, s
iN"
CL-
Dead ou 8 iW Repok Sys Mar Factors (.1946)
Avallable s as .1945Site CIAWcadon (.1948) ,
Ay-stem Evaluated B):
7
Site LTAR .s Others Prestme