IPACHTE# I -5-'U )5 Harnett County Department of Public Health
Improvement Permit 26494
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Dots
ISSUED TO: S)GcgPn-ucLC-- \tXOCr4_ 1DUNt_OGa& SUBDIVISION ~r Eas 9, OLOT # 10
NEW-K REPAIR ❑XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~fl cyt'+x~31
Proposed Wastewater System Type: T,F_,o i gy ~ 0.4 5-15TS^
Projected Daily Flow: >0 GPD
Number of bedrooms: 5 Number of Occupants: 10 max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No ';k May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~ (16'%46 Date: \OZ'j X) N SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holderl is Bible 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 Improv ent 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: S)c-z4P %uoS-, \1or~. ~pv"L-oECLS PROPERTY LOCATION: ~oGS Rv
SUBDIVISION 1 9'WrE25 P, LOT # 1p
Facility Type: XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes '-K No Basement Fixtures? El Yes ~No
Type of Wastewater System** 'ASR'/* R~ov(:;S ~a ) Sy 5 : &n (Initial) Wastewater Flow: GPD
(See note below, if applicable)
Ala Q.--,c> a<^ )vdy S-,)4.s't::tr (Repair)
Installation Requirements/Conditions Number of trenches a.
Septic Tank Size %,%Q0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench t 10 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'%-30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 01 Feet on Center
Soil Cover: C' 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the speciTcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subje on 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
and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: 'J~Vw tab Date: a3
Constr ' n Authorization Expiration Date:
C
SEE ATTACHED SITE SKETCH
HTE# 0 :"~,-05 Permit # a~ ~H
Harnett County -Department of ablic Health
Site Sketch
PROPERTY LOCATON: ®oGS
ISSUED TO: V5-j\ U 0 0011-~QEa SUBDIVISION 1' I Q TTV--4 S LOT # 1O5
Authorized State Agent: Date: 3Z Imo}
150
1~- Es->> u c,>`y D 1=28`2 1--N
Department of Environment, Health and Natural Remmus Shed:
Division of Environmental Health Shed:
ID:
On-Site Wastewater Section Lot Pmperty
SOIIJSTTE 1zVALumim File Al:
f O Code:
or 1.4-31
1E WASTEWMER SYSTEM
Owner. Applicant:
Address: Date Evaluated:
Propond Facility: 9 Pfa Dedo Flow (.1949): C, r r)
Prop" size:
Locad.60 of Site: Pro "
Water SitPPIT! Pub0d ❑ Individual ❑ Well
❑ Spring
Evaluladan Mcthod: Auger Boring ❑ Pit q
cut.
Type of wastm titer: Sewage ❑ Industrial Process [J
Mixed
P
it
O
F SOULMORPHOLOOY
OTH
1 .1940 .1941
L [ardsaps Haizm
ER
PROFIIB PAR.'it
11942
9 Posidad ~ .1941 .1941 301
M Slope % (1n,) st
w
1$43
ucbm
Condd o" wernesat
TO Min"Ie color
soil
QY
L el
'
,
/v 10 -
site Clauidcadoa (.1948k S
Evaluated By e5 ~
Others Premt: P, C,
❑ Other
1916 .1944 pmmi
Ispro Re* Clan
aau Haig. ALTAR