IPACHTE# 1 ~-5- -ab),fol A Harnett County Department of Public Health
Improvement Permit 2 6 4 8 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NG 1~hI~J 1~
ISSUED TO: ~"E,rl t -J C CL EQ,< ~ SUBDIVISION Y a%-4"E-,'A -cw N LOT # _
NEW,K REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: n<3a `-l r~-3~
Proposed Wastewater System Type: C_c5 H -4S--iT
Projected Daily Flow: LitO GPD
Number of bedrooms: L Number of Occupants: max
Basement Ayes ❑ No
Pump Required:>Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community i~. Public ❑ Well Distance from well 1c`~® feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: sill-III) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issd of other permits. The permit holder is re onsible 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 TO: -v) rtcGoccy PROPERTY LOCATION: NC,
SUBDIVISION +4V',A M C Rrn~rzpN LOT # 1
Facility Type: Mop 6~'~2.`$ New ❑ Expansion ❑ Repair
Basement? X Yes ❑ No Basement Fixtures? Yes ❑ No
Type of Wastewater System** Pt, 'y* -10 Cry N-g ~t tT t t, N At.. (Initial) Wastewater Flow: ~B D GPD
(See note below, if applicable
Qu rri? o (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 1000 gallons Exact length of each trench ~8 a feet Trench Spacing: Feet on Center
Pump Tank Size t 00 0 gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of. 1'q inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
a inches above pipe
inches total
WATER LINES (INCLUDING 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: /understand the system type specified is different from the type specified on the application. / accept the specilcations of this permit.
Owner/Legal Representative Signature. Date:
This Construction Authorization is subject to revocation if the ZI
at,
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 su ptcompliance h t~of s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: J Date: 311-1-)W
Construe ' n Authorization Expiration Date: 1
HTE # 1 -5=616
Permit #L1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: N C. -)A
ISSUED TO: SUBDIVISION LOT #
p t_~ v F-.~
Authorized State Agent:S ~oL~Saos~ Date:
SJ~W ~ N G
5)1~ r
11)34
Department of Environment Health and Natural Resoum" Sheet:
Divisioa of Environmental Health Property ID:
On-Site Wastewater Section Lot Property
SOHJSM EVALUATION File 0:
f or ON -S Code:
111: WASTEWA
1 ER SYSTEX
Owner: Applicant:
Address:
P
l
Date Evaluatai: \
roposed Faci
ity: L,, Design Flow (.1949): 44'O, j~rf
Property Size:
Locatiom of Site:
Property Recorded:
Water Supptp
❑ Public Individual ❑ Well
❑ Sprin
Evaluation Method:
❑ Auger Boring ❑ Pit
g
Cut
Type of Wastewater.
❑ Sewage ❑ Industrial Process
Mixed.
P
R
O
F
301L 4t0RPHOL00Y
OTHE
1 .1940
L L&rAbcq a Harizaa
.1941
PR
R
OFILE PACT(
B Posidew Depth
# Slope % (IM)
.1941 .1941
d
St
11941
soil
rucror
ConddaM
TOM" Minty to
wetnesd
Color
soil
I
L~
j v,,C _v~f
G L5 Fn ~ s~~aF
,
t 3~
~ c t.. ~rL- SSI
\C
'
❑ Other
.19?6
3apm
® a~ 1.Tfl t~5~
W „
~C) ~L Frz s5}5P 1t~`1ri11~ ~ a3
a
30 G
~OY 31<- G~ s
~D v
0
Other Factors 09m6
Site Classification (.1948k P
Evahwtad By:
Others Present:
.1944 Pmms
Re* Urea
Hail. R LTAR
d)
US
Qa