IPACHTE# C1-5-C, 1-1 Harnett County Department of Public Health
Improvement Permit 2 6 4 8 6
A building permit cannot be issued with only an Improvement Per t
PROPERTY LOCATION: PvE~.Lt~G~~O6~-Q-J
ISSUED TO: SUBDIVISION LOT #
NEW'K REPAIR ❑ EX NSION ❑
Type of Structure: S~) (SW CS
Proposed Wastewater System Type: OUGC eC~ t.t Sy5TE.*c\
Projected Daily Flow: 3~~? GPD
Number of bedrooms: Number of Occupants: ( max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑Community ❑ Public X Well Distance from well t o® feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: Date: -3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua of other permits. The permit holdel is resp nsible 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, .1 9S2, .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: +M 1nt PROPERTY LOCATION: F3
w- '~>-(OOCL Qr~
SUBDIVISION
Facilit
T
e: 5~~ LSOr 50New ❑ Ex
ansion ❑ Re
air
LOT #
y
yp
p
p
Basement? ❑ Yes "154, No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** /I' S -G Q C.'C~Ct N Sys' Grr\
(Initial) Wastewater Flow: 3C GPD
(See note below, if applicable
Pv tnP--'S-Q aS"la 9---9 '5YSTL m% (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1-d®CD gallons Exact length of each trench 5~5- 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. YR 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
Conditions: (~)N ~rt E yd a- FN'-30'J- S t~1~ E-~ D ~--fo 0 V-) •
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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 specifications of this permit.
Owner/Legal Representative Sipature: Date:
This Construction Authorization is subject to revoca the a, 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 su*11akcompliance 'th flie~sr , of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent:
Q Date: -
3)1s-Authorization Expiration Date: 3 1~
HTE# 6 Permit # 2,~'
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: o M+ L N SUBDIVISION LOT #
Authorized State Agent: Q~ OLtvt~L Toy ~scatpate: `3~}~ ~1
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t ~
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faoN
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL (SITE EVALUATION
for ON-SI'Z'E WASTEWATER SYSTEM
Owner Applicant:
Address;
Proposed Facilitr.
Location of Site:
WahaSuppijr
Evaluation Mclhod:
Type of Wastewater.
Dater Evaluated:
Deslgp Flaw (.1949):
Property !'recorded:
❑ Public ❑ bidividual
Auger Boring ❑ Pit
Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
Well ❑ Spring ❑ Other
cut.
Mixed.
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILB FArCTOR3
L
La wmaq
Horizon
1941
_
E
F
Porttlod
Slope %
Depth
(la)
.1941
sb
w
.1941
sell 043 .1916
.1944 F oQI®
ucno
Conddece
webmw soil Sapre
Reds Club
Toxh"
Minmlo
Color
C1w
Hail
IY LTAR
A
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Site ClaWcation (.1948k fS
Evaluated By: <f~
Others Preme
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