IPACHTE# )lN- Harnett County Department of Public Health
Improvement Permit 2 6 4 8 8
A building permit cannot be issued with only an Improvement Permit
t PROPERTY LOCATION: ~oGS e1?
ISSUED T0: `r1 'ANN ty2y C,C t C1 rf SUBDIVISION ~~2sfi~t2.s ~2 ~c~ cG LOT #
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S t Lt3
Proposed Wastewater System Type: a-e°fo P. u~ taN y5~t»rr\
Projected Daily Flow: l--~"60 GPD
Number of bedrooms: L~ Number of Occupants: max
Basement ❑Yes Xl No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '12~ Public ❑ Well Distance from well ) OCR feet
Permit conditions:
Permit valid for:
X Five years
❑ No expiration
Authorized State Agent:: ~~1\
The issuance of this permit by the Health Department in no way guarantees the is ce
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
10 Date: 3 h} SEE ATTACHED SITE SKETCH
of other permits. The permit holder is respo Bible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: "'4'JN N CoN~a vc.-Tt~sJ PROPERTY LOCATION: 00 C.S `4
SUBDIVISION £q.5 9,-\ QCL LOT #
Facility Type: 5New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes '191 No
Type of Wastewater System** 1Z„ wigrSio N (Initial) Wastewater Flow: L iIO GPD
(See note below, if applicable g
'x"10 DUG~ytfsN ~y -~~t~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 c-) 0 gallons Exact length of each trench 50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c1 Feet on Center
Soil Cover: 1'a-, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 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: /understand the system type specified is different from the type speci(ed on the application, / accept the speciTcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to s 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 subject to compliances with >h- ro ofr' e LLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 )`7 1)
Const 'on Authorization Expiration Date: 3 1~
HTE# --l- V-1 1 Permit #
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON: Q®~5 R,Z
ISSUED T0: yc c - '°a SUBDIVISION Q.,06C LOT #
Authorized State Agent: ~oc wart, ~CoL,~r7d Date: 1-1
15 v
Department of EwAm menk Health and Natural Resources Sheet:
Division of Environmental Health Property e
e~ ID:
On-Site Wastewater Section Lot
SOJUSITE EVALUATION File 0:
ryr OK-SITZ$ Code:
WASTEWATEIg 9YSTEIK
Owner. Applicant:
Address;
Date Evaluated
Proposed Facility: C3GC~ c ~ sh Design Flow (.1949): i } eo
Propertp Size:
Locatloa of Site:
WatetSu
t
; )
ptopedy gecorded:
f
pp
p
a
Publ
C ❑ Individual ❑ Well
❑ Spring
Evaluadon McOlpt
Type of Wastewater:
Auger Boring ❑ pit
S
❑ I
cut.
ewage
ndustrial Process
Mixed.
P
R
O
F
SOUL M0"HOLOOY
OTH
U .1940
I j
L -821,11"a
.1941
P
M
ROb71.8 FACTO
B
posidew
P Slope %
.1941
.1941 .1941 soil
sb
043
uoturd Conrtdms Wdn"d
Tom" mbMIO Color
soil
~
DtC
1 C,
S~n,caj'NQ
_
S r i ~R~Q
C,
3 x S cj oZt 1
Site C1&W'c8tion (.1948k S
Evaluated B): <:7S'
Others Present:
❑ Other
.1956 .1944 holll®
sepm Re* Clw
Claus Horiz. ALTAR
5 ~
S,-6