IPACHTE# 1 Harnett County Department of Public Health
Improvement Permit 26497
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \J S---vc-Sa5
ISSUED T0: SUBDIVISION 1 oS-i-) o ~1C^SZ~~~ ~ LOT # L_
NEW>~ REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S's= d
Proposed Wastewater System Type: C-O-V&nti 1nNC%>-
Projected Daily Flow: `5 GPD
Number of bedrooms: s' Number of Occupants: max
Basement ❑Yes >KNo
Pump Required: ❑Yes >',IJo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well SdC7 feet Permit valid for: ` Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent:: 9-e-t5 Date: 3, 1 ti SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees tt a of other permits. The permit holde is respon ible 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 Im tent 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: ~ tt~~1 1a~~cS )lm C,. PROPERTY LOCATION:
SUBDIVISION ~~se~~K d c LOT # _L
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes _'4 No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** C4"-4 e- O M a1,- (Initial) Wastewater Flow: 3~ 0 GPD
(See note below, if applicable
C-ri tvvC- 4-' t c) N Sa'- (Repair)
Installation Requirements/Conditions Number of trenches L_~
Septic Tank Size IOQQ gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: D,1A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover: 1--IN inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
l inches total
WATER LINES (IN(LUDING 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: l understand the system type specified is different /rpm the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suhiect to revocation if the site elan. Dlat 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 rkmpliance with t_p or4,,ofaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: y RI:o' Date: 3 a N\
Cons on Authorization Expiration Date: 3
HTE# B Permit # a"y
Harnett (bounty Department of Public Health
Site Sketch
Y40~ PROPERTY LOCATON: ~1LZ 1-yt,~s
ISSUED TO: YUHcvQ.l~ c- SUBDIVISION LOT
Authorized State Agent: was 6- 10t nDate: 31 afi)i
)5~f
3`1~"
W l 1.1 e- v
Department of Emimanzent, Health and Natural Resoumn
Divi9i011 of F.nvimmuental Health Sheet:
On-Site Wastewater Section Property ID:
Lot 0:
SOIUSITtt EVALUATION File 11:
for ON-SITE WASTEWA rvv SY9TE11# Code:
Owner. Applicant:
Address; Date Evaluated:
Proposed Facility: Design Flow (.1949): 368 LacaNo of Site: Pro I Recorded: ~r prop" Size:
Wata~t Suppij Public 13 individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Spnng
Type of Wastewater. Cut
Sewage ❑ Industrial Pmcess Mixed
P
R
0
P SOIL MORPHOLOGY
1 .1940 .19418
L ape Hoeizoo PROt7LB PAR7iC
E Po~I@ad Depth .1941 .1941 194'
N Islam % Ilq) soil ' MA-2
OVUM"
Toadun
Comldew Wetned 900
Mlmnio Color
Q S 0
G 5L
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vm v5jUP
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s
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53~(- G/1-
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3 G .
to s i.
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-110
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don Inillal
s stem
HOP* Syetm
Other Facttxs (.1946k
S S as .1943
Site C1awi8cadon (.1948k 5
Evaluated W d>
I
Others FreCmt: GtZA " d`1 IK-
❑ Other
1916 .1944 Peome
Re* Ctai
Hails. &UAR'
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