IPACHTE# Harnett County Department of Public Health
Improvement Permit 26468
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M KQ -S 9'p
ISSUED TO: Cu mG~6c~.t-f~rsfl V" orv,E,s 1N c. SUBDIVISION PsS"n~cnrzp LOT # a1'7
NEW, REPAIR ❑ E)JNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: `a-S"lo REs~v:~cJ S ys 5 sm
Projected Daily Flow: 3 f-0 GPD
Number of bedrooms: 3 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 VZ)o feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '~e 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s n~ ce of other permits. The permit holder is respo sible 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 r ement 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: C-umc,,e:<zt.P,r+Q YA0ff-,E_\N(, PROPERTY LOCATION: TA NQ'-' RZ
_ SUBDIVISION ~S~Cr-W-D LOT # ~I
Facility Type: New ❑ Expansion ❑ Repair
Basement? b Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable
ado (Repair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size 1 ® gallons Exact length of each trench 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: 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 ]OFT. 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 revocatinLif 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 nth th&provisi a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~tL-NS Date:-
Const ion Authorization Expiration Date: 9r.
HTE#
Permit #
pil-blic Health
Harnett Clounty Department of
Site Sketch
PROPERTY LOCATON: Ai24~s LOT #
c~ 51 SUBDIVISION
ISSUED T0: cvn,
o1~~ate: I l\
Authorized State Agent:~ J✓
\1-) A N a -,ax-,.E
Department of Emimrunent, Health and Natural Resourca Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
Sonic "EVALUATION File
for ON-SI'Z'E WA3TEWATEIj 3YSTEM1 Code:
Owner. Applicant:
Address: Date Evacuated: >
Proposed Facility: DCAP Flow (.1949): Pmpaq Size:
Location of Site: Property Recorded:
Watet $upp[y Public ❑ Individual ❑ Well ❑ Spring ❑ Other cut
Evaluation Method: Auger Boring ❑ Pit
Type of Wastewater. -0-Sewage ❑ Industrial Process Mixed
It
O
F
301. MORPHOLOG
Y
1
L
.1940
Lands"
Horizon
.1941
PROFRS FACTOR3
E
Posidaol
Slope %
Dq4
(ter
)
.1941 .1941
St
l
1941
soil .1043 .1956 .1944 Profile
.
ructura
CorWdon
Textan Minwlo
Wetnead 90it Sapro Re* Chan
Colas M
MIN
LS
1.- Cleo Hail. A LTAR
E
Q~~
~Q ( r f P
E
~S~1S
Site Clawcadon (.1948k
Evaluated By:
Others Present: