IPACHTE# 115-~~- Harnett County Department of Public Health
Improvement Permit 26473
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: QA
ISSUED T0: ~.v r>fl~Q,Z P,~cp MSS SUBDIVISION -7i 6 6r1 z. A c.~ LOT # 13
NEW'K REPAIR ❑ XPA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S FUU `S ` 14-711
Proposed Wastewater System Type: a-S"f~ ~~OVL~~d N Sys
Projected Daily Flow: 3~b 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 Public ❑ Well Distance from well 1®d feet Permit valid for: X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: _ al 'a- I1\ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issi of other permits. The permit holder is respo able 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.
ISSUED T0: PROPERTY LOCATION: M1C4Z7-wErz-
( _ SUBDIVISION li to 66Nt a--t"c£ LOT #
Facility Type: 5K-9 bQ~'~`~ l~ J New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1, No Basement Fixtures? ❑ Yes ~4 No
Type of Wastewater System** r.).~,01. l~~aV CA\ ~3 N Sys-c~tr (Initial) Wastewater Flow: 'IC-~ GPD
(See note below, if applicableA,,'
°l0 12 \J -7'C c3N'E 15 ; En (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size Lbbd gallons Exact length of each trench 2.0 d feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (~,=`b inches
Maximum Trench Depth of. N-010 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 inches below pipe
Aggregate Depth: T inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 /s different from the type speciFed on the app/ication. / accept the speci>rcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to Lion if t e 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 gbigLt to compN§&w on 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: CL
Co ction Authorization Expiration Date:
HTE# 11-5 -2.S`1 Jam. Permit # "L4-13
Harnett County ]Department of iblic Health
Site Sketch
PROPERTY LOCATON: )GRO o w
ISSUED TO: Cvrr~ 2~ P~~s0 ~o1'11~ 65 SUBDIVISION LOT # 1~
Authorized State Agent: Q ---,b fL"Toi~~fl~{IS Date: Z~-a 1
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property
On-Site Wastewater Section Lot Property
SOIL/SITE EVALUATION File fl:
Code:
for ON-SITE WASTEWATER SYSTEM
Owner. Applicant;
Address: Date Evaluated:
Proposed Facility: 3 z66 izo in Design Flow (.1949):36p Property Size:
Location of Sits: Property Recorded:
Water Supply: Public ❑ bdividual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Boring ❑ Fit cl. Cart
Type of Wastewater. Sewage ❑ hdwtrial Process C3 Nxed
P
R
O
F
SOIL MORPHOLOOY OTHER
1
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.1940
Laws""
Horizon
.1941 PROFILE PAATOR3
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Position!
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Depth
(In)
.1941
.1941 .1941 soil
143 .1956
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.1944 Ft®
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Consideam wetnesil soil Sspra
Tertian Mtnrrslo Color IN
Re* Clan
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. Clap
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Haris. i#LTA><
DatcnPdara
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Repair system Other Factors (.1946)
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Avsllabla Specs .1945
Site ClaWcadoa (,1948) e:5
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Evaluated
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site LTAR
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