IPACHTE# 1Harnett County Department of Public Health
Improvement Permit 2648 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ow6s-e, Q-D
ISSUED T0: C+ v ~ 2Lano l~0 MG g ~>v C. SUBDIVISION ` - G S- - 9 )-o cC. LOT # 15
NEW X REPAIR ❑ EXPA~SION ❑ Site Improvements required prior to Construction Authorization Issuance:
L~'
Type of Structure: (.3-e
Proposed Wastewater System Type: `a- 53/0 ~c ouG-post SyS;
Projected Daily Flow: 6 b GPD
Number of bedrooms: 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 X Public ❑ Well Distance from well %C)O feet Permit valid for: Five years
Permit conditions: s
❑ No expiration
Authorized State Agent:: O.. QL=~15 Date: 3 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ier permits. The permit holder is res oosible 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, .1952, .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 pr, aECt,T~Q,~ V- o r"E-S 1N G PROPERTY LOCATION: M s c a o 10~ -,t. R-.a
SUBDIVISION -7-1 ,t LOT # 1 _
Facility Type: FU '5< New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~J. No Basement Fixtures? ❑ Yes 'X, No
Type of Wastewater System** "Z5 40 ~~oy cxS N 0 N S y 5 T E sr (Initial) Wastewater Flow: 3 ~d GPD
(See note below, if applicable
2z-/o
Installation Reauirements/Conditions
Septic Tank Size ► too Q gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
.Eoyc-'~+ o N S-/-55-Em (Repair)
Number of trenches `a-
Exact length of each trench 1 S" feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: \1% x-1-1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: ~l Feet on Center
Soil Cover: G->a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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: /under understand the system type specified is different from the type specified on the app/nation. /accept the specipcations of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is mbject-ta-re ion if 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 k~ compliance he--o " s o1-t Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: R,G Date: 3 ht
Constructf Authorization Expiration Date:
HTE# Permit # 21~1--~-
arnett Connty Department of INiblic Health
Site Sketch
PROPERTY LOCATON: M cc2S~ awl Z. D
ISSUED TO: Cam ku sr- 11,3 G SUBDIVISION LOT # 1
Authorized State Agent: l~~s t,>vEct•~Tvy`bt~ Date:
110
N5
i orc uz- 6z
Department of Environment, Health and Natural Resources Sheet:
Division of FAvironmental Health ID:
On-Site Wastewater Section Lot Property
SOEUSTTE EVALUATION File fib:
for ON-SITE WASTEWATEITSYSTEM Code:
Owner.
Applicant
Address;
Date Evaluated:
Proposal Facility: ~3~ oQ M Desig>z Flow (.1949):3 G Q Fmpeq Size:
Locadon of Sibr
Property Recorded:
Watet Suppl r
Pnbl#c ❑ L>< Mdual ❑ Well ❑ Spring
❑ Other
Evaluation Method:
Type of Wastewater
Auger Boring 0 Pit Cut
❑ I
~
.
mp
ndustrial Process [
Mlxed
P
R
O
F
SOIL MORPHOLOGY pTH
1 .1940
L Lip
Hacizoe
EJL
.1941 PROFILE PAt,"tOR,
E Pasitiew
Slope %
Depth
(in)
.1941
.1941 .1941 soil .1943
Structural Consbteaae wetrreld
.1936 .194
Frof ®
soil
Texhn Minardo Color IN.
31pro Re*
Claws Hans.
Clue
a Um
s L F~j N P
Ps
a
°
3 a
~ > L.. ~CL ces ~ ~
pS'.
b
DescriPdon
WW
Re System Other Factor' (.1946k
Available S as .1941
s dam
Site CfaWcadoa (.1948k
System a
a 4
ftA o Y Evaluated By: 6-~,
site LTr11s
L
Others Prexnt: Rr,