IPACHTE# Harnett County Department of Public Health
Improvement Permit 26551
A building permit cannot be issued with only an Improvement Permit -ZD
PROPERTY LOCATION: -T t r1G£r.s
ISSUED TO: 1 \N0 17-N C--5 SUBDIVISION PPM6 sa 0) N) LOT # ~l
NEWX REPAIR ❑ r EINSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a CSC ~`3~~
Proposed Wastewater System Type: C01 v-aG>uS~n N N L
Projected Daily Flow: s), Li 0 GPD
Number of bedrooms: a Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No )<May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ;~<Public ❑ Well Distance from well L® G feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 41131)) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance h permits. The permit hold 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 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 T0: ~ l ~.t ~y z-~ ~~osrE PROPERTY LOCATION: s~ BEN
SUBDIVISION PR"'S b N 5 Ro l -r-, LOT # "I
Facility Type: SFO x3~Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" co r4-,4 ' Q N tXt_ (Initial) Wastewater Flow: aka GPD
(See note below, if applicable COIN-4 S;.>s' 113 (`c c% r, (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 4 O ® o gallons Exact length of each trench I too feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. A4-?>O inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: ` I a-.° 'S inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 9, inches above pipe
to, 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 application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject 07,l ' if the site pla 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 siuhe tstg complian ith t of ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 9-6445 Date: 1
Construc Authorization Expiration Date:
HTE# NA-'S 3 G }
Harnett County Department of lNi-blic Health
Site Sketch
PROPERTY LOCATON: ~r► "t
ISSUED TO: ~J~~-L C1- Ctn. SUBDIVISION ?K-'~NOAS O)N-l -LOT #
Authorized State Agent: t)va(L-To)-K SDO9 Date: 131 11
Permit # a(,S5
F I" CA-,--,a 9. Q qZ
Department of Envimnment, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot fit:
SOtIJSITE EVALUATION File A
for OM-SITE WA.g Code:
E~ SYSTEM
TEWA
I
Owner. Applicant;
Address:
Date Evaluated:
Proposed Facility:
Ffow (.1949):bl~
;
Property Size:
Location of Site.
Watet Sir
t)r
Property 1eCOrded:
'
pp
a
Pub
t(C ❑ hldividual ❑ Well
[3 Spring
Evalu
don Method:
-0 _ Auger Boring ❑ Pit
cut
Type of Wastewater:
)Sewage ❑ It wwal Pmcen
Mixed.
P
R
O
F
1
1940
SOIL MORPHOLOGY
MIMR
.
L Ladsm" Horizon
.1941
PRORM FACTOR!
E Posidod DIP*
M stop. ri
Sit
.1941 .1941 .1942
sb
r
043
wnv
Conside welnad
Tem Mtnrato Color
$ail
IN
G -5
.
o'er
G 5 v~~. ~~,~p
s`3k'` s c.Z SYt, ss~ ~vQ
30`
X~<scti sS~;~P
L
'
other Factors ( 1946)
Site C1aWcation (.1948)
Evahzted By
Others Preme
❑ Other
1956 .1941 1? mi
Ispm Reatr Ch*
:lase Hats. aLirm
;f .
~5