IPACHTE# 11-5--Z6231 Harnett County Department of Public Health
Improvement Permit 2 6 4 2 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:4 /rIOL l&M l56 cluelk
ISSUED TO: 4c}r/I &61_n..,~ SUBDIVISION LOT
NEW lieK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :5 /t-Z
Proposed Wastewater System Type: Zt "/a
Projected Daily Flow: 360-
rim GPD
Number of bedrooms: -~.3 Number of Occupants: max
Basement ❑Yes Id No
Pump Required: ❑Yes ❑ No Ea-_a eirequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community [ Public ❑ Well Distance from well feet Permit valid for: Drive years
Permit conditions: ❑ No expiration
Authorized State Agent _ Date: 5-16-11 SEE ATTACHED SITE SKETCH
The issuance of this permit by t D alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if it 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
squired 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: r"/l 7~-r-~- PROPERTY LOCATION: J/_ j
SUBDIVISION LOT # _I
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2"1 o Basement Fixtures? ❑ Yes DID
Type of Wastewater System** 57°/, Z/&yd_ 1e~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
epa
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 16 gallons Exact length of each trench .3 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:~ a - 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: inches above pipe
Conditions: / L. 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: /understand the system type speciled is different from the type speciled on the application. / accept the specilcationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Age Date:
/
Construction Authorization Expiration Date: '3 l 6 j
HTE# L3 / Permit # 7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: l%70&
ISSUED T0: l Cv, SUBDIVISION Gf,~ COQ
s LOT
Authorized State Age 9~~ Date:
,.1
Department of Emimnment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot e
SOIIL/SiTE EVALUATION File
for ON-SITE wmrg Am SYmm; Cam:
Owner Applicant;
Address: Date Evaluated: 3 S-1 I
Proposed Facility: Design Flow (.1949): 3 6, 6 Property Size:
Ltxatloa Sibs: Property Kecorded: >tt ,
Watea Snppty liC ❑ Itldividual ❑'Welt ` ❑ Spring ❑ (mar
Evaluation Method: Auger Boring ❑ Pit . Cat.
Type of Wastewater. O''Sewage ❑ wustdal Process Mixed
P
R
O
B SOILMORPHOLOOY OTHER
1 .1940 .1941 PROFILH PARTI'OR3
L LyndBap Harim .1941 1 4.
E Poeitlad Depth .1941 .1941 3611 149
N Slope 1956 .1944 From
9U (1n.) 3bvottvd CandMOM WCUMMW Soil
Texture Mtaerelo Color IN,
3, °3Z"
Z L Z"i v
14* C!"I
Hari:. A LTM
3 z..
3c'" 2'
17 - I 36 cj,
L.
3 (a
Site C1&Wcadon (1948X Pt)
Evaluated Br.
Others Anent: Y "
e