IPACHTE# t 1-5C2§9 Harnett County Department of Public Health
hDrovement Permit 2 6 4 6 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~o Maus
ISSUED TO: ~ravL- to S Q,y5--) SUBDIVISION LOT #
NEW' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '1" 1 Pons . \-k o MG (2, >:-I
Proposed Wastewater System Type: C-,z~,N -4 , e N o N N G
Projected Daily Flow: 3b GPD
Number of bedrooms: 3 Number of Occupants: (0 max
Basement No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well I D O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1NS Date: 21 I (-1 \ I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of ots ~etmits. The permit holder 4s respAsible 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 Permitall 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: SR -1'4G-:~) PROPERTY LOCATION: f4\ J)C)ur't t':fl eD
SUBDIVISION LOT #
Facility Type: `M ~N . ~0 r~tr ~3a-'C7C~J -ti~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes IR No
Type of Wastewater System** Co nt y E rv i 'J N P. C- (Initial) Wastewater Flow: P GPD
(See note below, if applicable
a'S°/0 %GZ uc-'-\ \ 0 N Y5,7 t~ M (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size tid ac) gallons Exact length of each trench 2- rJ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: )i a inches
Maximum Trench Depth of: aLl 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 co inches below pipe
Aggregate Depth: r~ inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specifed on the application. l accept the specifications of this permit.
Owner/Legal Representative ~Igfte. Date:
This Construction Authorization is subject to revocation i site 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 is s#jecNp compliance W4,the,Rroviio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 2 )6 t
Cons uction Authorization Expiration Date:
HTE# Permit # a6Ll 6
Harnett (bounty Department of Public Health
Site Sketch
PROPERTY LOCATON: M c a uGF~►
ISSUED T0: PPw~ ~~1 SUBDIVISION _ LOT #
Authorized State Agent:
1..-sV fn,
Date: 41)~
1~c00 rJ S
~J cr)
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1
1
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t~L J0 UG P1% Z-0 ~LD
Department of Emdrumnent, Health and Natural Resourcoa Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOJUSITE EVALUATION File
far ON-arro Code:
WASTEWATER *][*I E ;
Owner. Applicant:
Address; Date Evaluated 1~
Proposed Facility;' Design Flow (.1949): 36 a Property Size:
Locadoa of Sits Fmpedy Recorded:
Water S LIP IiC ❑ Individual ❑ Well ❑ Spring
Evaluation Method: uger Boring ❑ Pit Cut
Type of Wastewater, ewage ❑ wustrial Process Mixed..
R
O
F
1
L
E
it
t
SOIL MORFHomay
.1440
_
,
1941
ape
Horim
Poeidew
Depth
.1941
.1941
Slope %
(1m)
stucmw
Consistence
Tomm
Miawelo
L 7 U
0
5LL-
Fn 5s1~4
D
OTM
PROFILE PAC
19.0
soil
1$43
wetned soil
❑ Other
1956 .1944 hom i
'®1m lu* clue
a+w Metz. ALTAR
==jx- Site Classiflcadon (,1948,
Evaluated BY'
Others Present: