IPACHTE# t1-SHarnett County Department of Public Health
Improvement Permit 26489
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: OocS T'~o
ISSUED TO: w Jcyt4 C-0 vA 2v c,"S t 0 r1 SUBDIVISION ~cax> tc ci5 c_G LOT # I(Z)7
NEWV REPAIR ❑ }EXPANSION I-] Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ~O ~S6c'
Proposed Wastewater System Type: 5°l0 ~EouCs~~p , r Sy~cr..
Projected Daily Flow: Lk6 GPD
Number of bedrooms: LA Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes '/19 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '~M Public ❑ Well Distance from well te72) feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~y~ `':5 Date: _ W I' I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance her permits. The permit holder is responsible 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: \4 y-N Ci4 N5~61-uc.;4; f o ea
PROPERTY LOCATION: 'Da s Q-5
SUBDIVISION T"Q-rzmt-~L5 0-ocC LOT IT Facility Type: Ffl LS'6~ ~Co~J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (Initial) Wastewater Flow: LOO GPD
(See note below, if applicable n
elo V", WC,; \o 1-J ~v5 C. 14 (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 1 nc~c) gallons Exact length of each trench 5 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 'D,9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ~11 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 specified on the app/ication. /accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i to 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 subje to mpliance with rovisi s, "tr e ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: Date: 3
Construe Authorization Expiration Date:
HTE# 1)-s Permit #
Harnett County ]Department of n iblic Health
Site Sketch
PROPERTY LOCATON: O OC,5 e-c~
10'~
ISSUED TO: \4NN SUBDIVISION i~zo~~rts ~~rJ~C LOT #
Authorized State Agent: QE~S L~~ t-1<6vctRF Date: 3~ 1~~ 1 1
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Depaftment of Environment, Health and Natural Rewwra Shed:
Division of Envifonmental Health Property ID:
On-Site Wastewater Section Lot Property
S0Iusr m 1£VALUATION File
far ON c :
-SI'fli: WASILEWAIERgYSTEM:
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: DeA p Flow (.1949): ~N I-' ~ p
Loc ad60 of Site: rh Size:
Property Recorded:
Watet Snppty Pubdo [I Individual Well [3 Spring
Evaluation Method: Auger Boring ❑ Pit Cut.
Type of Wastmater Sewage ❑ Industrial Process Mixed.
P
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F SOIL NORPHOUM
1 .1940 .1941 PROFtCS FAC'rt
L [aada<a~pa HariZoo .1942
9 Position/ Depth .1941 .1941 sail
r! Slope % (In.) strucnvd Consideaea welflud sou
ToM Minutia Color IN.
s)kf
33 G L.5 v Tt ~
❑ Other
.19J6 .1944 Pbtgti
Sapm Re* am
Ctasa Hail. i LTAR
31 1:_5 IYm~JN~I -
Repair system Other hit-ors (.1946)
Stec , lawdoa (.1948X ?5
Evahaled By: c~
Others Preme
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