IPACHTE# \I-~ Harnett County Department of Public Health
Improvement Permit 2 6 4 9 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Oocs q_V
ISSUED TO: CG_~ erfQCt Q4__ u0~~= ~u»I-Q-" SUBDIVISION Na41-)E2s 9'.' G LOT # BOG
NEW', REPAIR ❑ ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SA`~
Proposed Wastewater System Type: Qurf10 !~).S`//o R UC;V Ors
Projected Daily Flow: 6C GPD
Number of bedrooms:. 7 Number of Occupants: max
Basement ❑Yes K No
Pump Required:"Eres ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply) ❑ Community X Public El Well Distance from well 1QV feet Permit valid for: Five years
Permit conditions: o erS 'r= ~sL4ati~ ~ ~-..C) oa_ 2Fs~0~1 So la.... 'NN-1 S) TC ❑ No expiration
tN' L C-sa.,PC;i ca is Q. , ~>.L:-' EE z0kN-,(\J(•_ E> C. S,-, r-,
Authorized State Agent:: Date: 3 d3 A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t <ame of other permits. The permit holder is resp 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 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, .19
54, .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: c-~.Ila•i t~22.E yAzi®n
yNL-QL'g-
PROPERTY LOCATION:
SUBDIVISION 0 V0 77r--ZS, Pct,- LOT # 10~,
Facility Type: S~SJ cL''~'xL~3~
New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1A No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** Pv n'? o
~uc,-c\0u
(Initial) Wastewater Flow: CO (3 GIRD
(See note below, if applicable A
vrgn4 v
l
c _'to Q-GovGf0y4 (Repair)
Installation Requirements/Conditions
Number of trenches %
Septic Tank Size 1'a-00 gallons
Exact length of each trench a-10 feet
Trench Spacing: ~ Feet on Center
Pump Tank Size s 3- o O gallons
Trenches shall be installed on contour at a
Soil Cover: G- inches
Maximum Trench Depth of: 11 ~3b 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:
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. 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 specifed on the application, / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su I revocation 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 compliance the visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH 11 Authorized State Agent: n~~ Date:
Construction Authorization Expiration Date: _ " a3 )1
HTE# \*~-2)'2-a0(- Permit # r-T °N5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 000E,
ISSUED TO: SUBDIVISION IVa7) F- 'R;~, Q(- 6 LOT # 1br,>
Authorized State Agent: L v~sZ- "t oL XJOC Date: 3 a3' 1
133'
tiro
VZN: u6,<-N) {J 3`P pq-
Deparhnent of Envtvnment, Health and Natural Resources
Division of Enviroumental Health
Sheet:
On-Site Wastewater Section
erty
Prop
e
Lot
SOIL/SITE EVALUATION
File
Code:
for ON-SITE WASTEWATERSYSTM.
Owner Applicant:
Address:. Date Evaluated: t
Proposed Facility: Desip A& (.1949): 600
Prop" Size:
LocatloQ of Sitar. Property Recorded:
et
i
Wat
s
jpptp Pub#6 ❑ LxNdud ❑ Well
11 Spriag ❑ Omer
Evaluadan Met2tod: Auger Boring ❑ Pit
Type of Waswwater
S
❑
.
.
ewage
wwwal Process
Mixed
P
R
O
P SOIL MaRP1101,00Y
OTH
l .1940 .1941
L Lard°apr Horizon
ER
PROFtLt; FACTOR'
1942
B Po°itlad Depth .1941 .1941 Sidi
N
91opo % 00 sbueft" Colwdme We4teW
1~4! 1956
944 A"of11®
TeMM Mtaereto
L5
Color
Sod!
S°Pro
IN. Cla°t
Re* CIM
Hods. ALTAR
..3 , SB e- 5:4
r Jr'
w7}y}I,
fc>
L c> 3~ r r,. ~,5)~~
Site Cla si catch (.194dik 9 5
U Evaluated By Q<
c7%::-,7 Others Present: a rn