IPACHTE# 11-15Harnett County Department of Public Health
ImDrovement Permit 26556
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M Q+ZX90
ISSUED T0: ~.v mO iLLQ+~p ~o c \''4c' SUBDIVISION N FanP LOT #
NEWX REPAIR ❑ EX_PrION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~J ~O Li~xLl 5
Proposed Wastewater System Type: ~/o R~aycs`~ ®N `15:6ss~
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
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 10C feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: `A 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isa ee of other permits. The permit holde is res onsible 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 nt 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 T0: ~ N a✓ PROPERTY LOCATION: P~ -S
SUBDIVISION P~s~G~r 020 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes ° No
Type of Wastewater System** 2160/s 9ewiCS SyS-Tcar-. (Initial) Wastewater Flow: %(60 GPD
(See note below, if applicable
SyS7~-V) (Repair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size 10 Ob gallons Exact length of each trench 1 0 feet Trench Spacing: c') Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 a. - ~ inches
Maximum Trench Depth of. 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 (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 di/ferent from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re~~,th-ko ' the sit an, 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 i subk t to compli y e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: U W.
Con ction Authorization Expiration Date: } 1 b
HTE# 1 I
Permit #
Harnett County Department of I-Niblic Health
Site Sketch
PROPERTY LOCATON: V1pvz,"_5
ISSUED TO: C- "ODES SUBDIVISION X-ti.pogo LOT #
Authorized State Agent Q C:~1S LI't U-77 o L' ,5S x Date:
t
ai
Ns"6 bF0Q0 N;Xy
Dep3rttnent of Envimument, Health and Natural Resources Sheet:
Division of Environmental Health •
On-Site Wastewater Section Property ID:
Lot 0:
SOHJSITE EVALUATION File
for Om 'Tv WA9TEWATEII< Code:
8YST1l1VE
Owner, Applicant:
Addrm:. Date Evaluated:
Proposed Facility: 3 c3~~< Dcsigp Flow (
1949
-
Locatfod of biter.
.
34,n
Property Recorded:
Property Size:
Watet Supper;
t)Publlc ❑ Lldlvidual ❑ Well
❑ Spring
Evaluadoa Mgt
Type of Wastewater
Auger Boring ❑ Pit
S
cut
.
ewage ❑ lndustdal Process
Mixe&
P
R
O
P
t
1940
SOIL MORPHOLooY
O17LER
.
L [ ..J.- - Hacizoo
.1941
PROFt1.t3 F
ACTORS
Posiflad Dep36
N 9lop~ 9fr 00
1941
.1941 .1941 Soil
sk
049
u9now Corwdam wafnnw
To Mianto Color
Sail
IN
~J \
.
59 \z S- C-) ~5 CSC
3 -_36`
cl''J
don lnitlal
S a
mA
Rapatr 9yatam Oth
er Factors (.194tSk
s s lice
.1945
Site C1&WCatiou (.1948X
Q 5
•
R ,
5~; Evahrated B)r.
t- (they Praseat:
I
❑ Other
.1956 ,1944 home
Sapro Re r 0184
Ctau Hams. ALTAR
. T
ff