IPACHTE# I~-~ Harnett County Department of Public Health
hDrovement Permit 26461
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0 o c--s 9- -y
ISSUED TO: vac- v-xQO-E- -kc)M~ ~U iL.~ig;152-b SUBDIVISION 'irzcr~CSZS 'P, ,o6E LOT # 3
NEVe REPAIR ❑ E, ~ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 'FQ ~L-1,0. J
Proposed Wastewater System Type: C, S70 p Eaves \d N '5tt'C'E
Projected Daily Flow: `ba 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 Public ❑ Well Distance from well C 00 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: a C Date: ' A t $ I 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holdel 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 Improver st 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:
12) C- 4K\- (JC.-L W0 f" r-
U1t.p~,~~
PROPERTY LOCATION: C) o c5
Vtfl
SUBDIVISION cz.Z -N) sLS
~ o GE LOT # -2~,
Facility Type:
Ffl~L 10 x' C~J
X, New
❑ Expansion ❑ Repair
Basement? ❑ Yes -~Ek No Basement Fixtures? ❑ Yes )K,,No
Type of Wastewater System** 1~ 12~ovcrte~ N ~~5 ~M (Initial) Wastewater Flow: LIRC) GPD
(See note below, if applicable
R. UC,7' 5 S---1" --M (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size ~o od gallons Exact length of each trench 9Q (Z) feet
Pump Tank Size gallons Trenches shall be installed on contqur at a
Maximum Trench Depth of. 44inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 'I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O 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:
1113 wmuuumu Nmnuncauuu a suulecr < reruca[wn n me sne ion, pear, or me mtenaea use cnanges. me t.onstruchon Authorization snau not De transterreo when there is a change in ownership of the site. This
Construction Authorization subject to compliaovisions the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v (Z~~s Date: a
Cons ion Authorization Expiration Date: 1'Q ~b
2
HTE # 11-5 - ~s YR Permit # ~ 1
Harnett County ]Department of 'Vblic Health
Site Sketch
PROPERTY LOCATON: ~o c_g ~ZD
ISSUED TO: 051Z OmvL 'g, QV-oSUBDIVISION r,"'~~czs o~E LOT # 3
Authorized State Agent: cLC:S o ~ti dE.2 oc.Y,Sflp Date:
15~
15
~~Er.rS U 44-y 1~) LrL6,/ Ltj
Depautment of Emiromnent, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOILISITE EVALUATION File
for ON-SITv to as Code:
TEWATEB a I a I Jun-
Owner. Applicant:
Address:
Date Evaluated:
Proposed Facility: 4 66D'Oo
1 m Design Flaw ( 1949): W 0
Properly Size:
Location of Siter.
Froperty Recorded:
Water Sapp.
0C ❑ Individual ❑ Well
❑ Spring
Evaluation Method:
Type of Wastewater
rAuger
Boring Pit .
~
Cut
.
wage ❑ Industrial Awss [
&fixed
P
R
O
F
1
1940
SOIL MORPHOLOGY
.
Norizou
~
.1941
PRO FU
FU FACT[
E Poai
Depth
A 31ope % (la)
1941 .1941 Soil 42
st
:
:.19
0
uchvd Conditm a wetoed
Tem"
Co(ar
J
:
i s->0`?d 0-s~"
.
a: l I ( F) Ll_
~ L I I LL
P) t.-
C t-5 VFr, ~
1Y 3x- c,~- s, 1
Mer Factors (.1946k
Site C103i8cation (.1948y
Evalt aced W. m
Othersl3eme P5
❑ Other
.1916 ,194 Prottlti
Sepro
Rc*
Claw
Clue
Hons.
A LTAN
105. is-