IPACH T E # -~-s3 Harnett County Department of Public Health
Improvement Permit 26467
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: MPsZY--. 94~,
ISSUED TO: C U fCN ee~~a.AKQ V'-,d '('r- 5 SUBDIVISION ll~,s~6C- aaJC~ LOT # 30
NEW'X REPAIR ❑ EYNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5V O ~
Proposed Wastewater System Type: 01,57sa 9,E.ovGS1 o N SyScGm
Projected Daily Flow: LA'ZO GPD
Number of bedrooms: L~ Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well LOO feet Permit valid for: X Five years
Permit conditions: - ❑ No expiration
Authorized State Agent:: - NQN~ 9-6 Date: 2~, 2 C)11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua Mother permits. The permit holder is resp nsible 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, .1957, .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: C-v~nc~c~2b ~Nfl VIomt:~ PROPERTY LOCATION: Aa-cS ~-D
~ SUBDIVISION LOT # "3Q
Facility Type: G N7`0 QA'(AIA~' J New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes K No
Type of Wastewater System** 2.S% 1RSD u QS-)0A a (Initial) Wastewater Flow: LY7 0 GPD
(See note below, if applicable
as-/0 N'~e)uG.) of tJ S-y s`: EM (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size N. CO (0 0 gallons Exact length of each trench t !E00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(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: ~a- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect_to. revocation if the sito.Dlan. Dlat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This
Construction Authorization is to complia ith signs a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: V-"el Date: Q) -a4 ~wI X
Constru ' n Authorization Expiration Date: a~12 o I
HTE# l --5-Permit # Q4<,-7
Harnett County Department of n iblic Health
Site Sketch
PROPERTY LO(ATON:-~E.~ R~
ISSUED TO: Cu m2 t- 1\w SUBDIVISION P~s~.EFOcr~ LOT # 2 C0
Authorized State Agent: Date:
t"j)
106
L.0 csv--"40m P a.1 vC
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property 1D:
On-Site Wastewater Section
Lot
SOMME EVALUATION
File
Code:
for ON-SITE WASTEWATER SYSTEM;
Owner. Applicant:
Address: Date Evaluated > >
Proposed Fad itp: Design Flow (.1949): a c
Frv
per► Size:
Location of Site:
R004 lecorded:
Water SaPply Publlt ❑ Wividual ❑ Well
❑ Spring ❑ Other
Evaluation Method: Auger Boring 0 Pit
Cut
Type of Wastewater. q Sewage ❑ Industrial process
Nxed.
P
R
O
F SOU. MORPHOLOOY
OTHER
1 .1940
.1941
L r
d
H
PROFt1.B PACTOR3
p~
ae
aoa
orizon
9 Positiad Depth .1941 .1941
# Slope % (In.) StruchuW Conddows
.1942
soil
Wetna/
1043 .1956
soil
.1944
Pm M®
Toxun Minerda
1S
Color
Sapre
IN. Clue
Realr
Hods.- I
C1w
A LTAX
S Vs~ ;~~,.sQ
17
Other Factors (.1946)
Site CluMcadon (.1948) t,
Evahatetl By: Cf~
Others Pnxnt: