IPACHTE# 1),-5- s5) " Harnett County Department of Public Health
hDrovement Permit 2 6 4 7 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: SUBDIVISION C•Ac~1 C) LOT # 1; 1~_
NEWX REPAIR ❑ EXPA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ' ~ QS°1' x
Proposed Wastewater System Type: C-o r-4r1 ; o -4 p.L
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: C, max
Basement ❑Yes -ANo
Pump Required: ❑Yes -21~441 o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '21, Public ❑ Well Distance from well d feet Permit valid for: IX~Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: -4. 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees suance of other permits. The permit holder is responsi a 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 provement 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
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1 9S7, .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 T0: PROPERTY LOCATION:
l SUBDIVISION CP, IL-ot_,~,,-Q. OR~,s LOT # 5t-1
Facility Type: 5 ~O CS`1r~3~`) New ❑ Expansion ❑ Repair
Basement? ❑ Yes >ir, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C. '-4 -4 Lr--,v~a N r, t-- (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
C..o c~ry C-- "r-, ti a -A RL. (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size to Q 0 gallons Exact length of each trench ` i,:~C feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ) inches
Maximum Trench Depth of: 21-u 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
Conditions:
Aggregate Depth:
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.
~o inches below pipe
a inches above pipe
inches total
**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 i nature: Date:
This Construction Authorization is subject to ation if th 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 subje4,t_to comce w' rov ' s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: Q~
Authorization Expiration Date:
HTE# 11-5- a5°r~`T Permit # '3-(C 4-TO
Harnett County Department of Riblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION Ca2ol ~vz>. ® po(-s LOT #
Authorized State Agent: 1 Ot~iy cCozxS~b Date:
VI
3 ti63
D ~l nl RG t: C.'
t 5° s G'S' (3 AGE
c~
e 4-
Q
194
DePaltnent of EwAruninent Health and Natuml Resources shed:
DivisiOm Of F'Mronmental Health Property ID:
On-Site Wastewater Section Lot 0:
5OU-JSffZ I EVALUATION File
for ON-SITIC WASTEWATZ]ZSySTEM~ Code:
Owner Applicant
Address: Date Evaluatak
ProposedFadfitr "b Q~-~icovc)DcApMaw(.1949):34 (0 Pro" Size:
Lomflon of Mr. Property Recorded: t
Watu Sup& W [I Individuil F] Well 0 SP&S (met
Evaluation Method: rAuger Boring 0 Pit cut
Sel
Type of Wastewater Sewage Wustrial Process mixed
it
0
F
SOILMORPHOLOGY
OTHER
1
L
.1940
Lxxbmr
Harim
.1941
positlew
Slope %
D"A
(IM)
.1941
st
w
.1941
.1943
Sail -043 .1956
1944 ?Mme
I
ucho
Taxhn
considwe
Wdn"d soil 3mm
Color Di
clan
Re*
L
clan
.
Hads A LTA111
L
\11;R-L-
N
Description
Othar Fl-dom 1946~
Awflablf Sp ce
SY111
C 194-J)1-
Sitl ClaWcation 1948~
9
Evahmied By: ,,-s
Sd@ LTAR
Others presot