IPACHTE# 1- 5--a~(:~'Cd Harnett County Department of Public Health
hDrovement Permit 2 6 4 6 3
A building permit cannot be issued with only an Improvement Permit
9p PROPERTY LOCATION: G_tt
ISSUED TO: C ~G VV_ P2. y-`.-Q SUBDIVISION SA ~chs~ ~rvo N - ~ u ~ LOT # LOS
NEWX REPAIR ❑ ENSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 q O
Proposed Wastewater System Type: C-) s,,fj6,-~ N oNfhL
Projected Daily Flow: ~2 1® GPD
Number of bedrooms: 2- Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~K Public ❑ Well Distance from well yl~) C' feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: Q_ r 1 i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder is res onsible 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. Q
ISSUED TO: C.P~P e. G .n.. p v>1-~oC-' -S PROPERTY LOCATION: Zp
SUBDIVISION N , ~Lp,H9 N 1 t_.1..S LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** CC) NVG-.~~ONAt- (Initial) Wastewater Flow: QLA GPD
(See note below, if applicable
C.o N v I-- ~ es V4 NL,- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 b ®ca gallons Exact length of each trench (2,13 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _ inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: N inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: inches above pipe
\ `L_ inches total
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: I understand the system type specified is different from the type speciped on the app/ication. /accept the rpecifIcationr of this permit.
Owner/Legal Representative
Date:
This Construction Authorization is subject to revoca i the 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 sulyect to compliance )iyh thgjrro t the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
9-(--AS
Date:
on Authorization Expiration Date:
HTE# 1-`~ ' a(~4Q0 Permit # ~DC
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Y,,txC\A L.F-t=sJ
ISSUED TO: - - t^c-~ L-o SUBDIVISION LOT # iC
Authorized State Date:
r
~25-
Department of Environment
Health and Natural Resources
,
Division of Environmental Health
Sheet:
On-Site Wastewater Section
ID:
Pmperty
Lot
SOIUSITE EVALUATION
File
Code:
for ON-,SITE WASTEWATER SYSTEr%
Owner: Applicant:
Address: Date Evaluated: C~)i~ 1,
Proposed Fa d ity: a `6 C,Iyz clc Design Flow (.1949): ~ 0 y
Ptopertp Size:
Lacatiod olr Site: Property Recorded:
S
Watts
upply; He ❑ Individual Well
❑ Spring ❑ Other
Evaluation Method: Auger Boring Pit
ag
Type of Wastmter Se
d
❑ 1r
'
cut
w
>
usaiall
tvicess C]
e
Mixed.
P
R
O
F
MORPHOLOGY
1U
OTHE
1 .1940 .1941
L La xism r H
i
F
R
PROFILE FACTOR,
or
zon
E Posiflow rn* .1941
I
941
S1
H Slope % 00 w Conddw=
.1941
Soil
Weln"d
143
.1936
1944
Froi11®
M
Minento
L5
Color
9011
IN,
Sapro
C1a
q
Re*
Hails.
Clum
di LTAtt
CD Y9-,L ~JS~~ t,
\C;-a
C --N
site Classification (,19482
Evahzted By,
Others Premt:
3-jA0 ~ Uzi,,