IPACHTE# Harnett County Department of Public Health
Imarovement Permit 26557
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M A2 S
ISSUED TO: Cu rn gG~~~tD MC 5 SUBDIVISION pc-s~a~. cc1~ LOT # a2
NEWN REPAIR ❑ EINSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO C-l~~~ :i Proposed Wastewater System Type:
S~O~o RGs~uCittla.~ S~~'r~.sr,
Projected Daily Flow: 3(c, 0 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 N -
Type ❑ Well Distance from well 100 feet Permit valid for: kFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: ~ 8 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance 'o permits. The permit holder 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 Improvement 't 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: PROPERTY LOCATION: Facility Type: SUBDIVISION '00 1) EFo(Q0 LOT # a
5 tub0~' New ❑ Expansion ❑ Repair
Basement? ❑ Yesl No Basement Fixtures? ❑ Yes
No
Type of Wastewater System** r)- vo -y5-1 r-- yr. (Initial) Wastewater Flow: (3 GPD
(See note below, if applicable
2,EQV1Z;N 1 ~Y5'1- FM (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 000 gallons Exact length of each trench a2x S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: L °1a 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: h
Sys'SCM""~a uC-PI1N F'ic-~uQ S~ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject te-eevecat t 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 st fit to complianw with Z~' - Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: `1 ~ 1)
Constru ' n Authorization Expiration Date: A
HTE#
Permit # a 55-1
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON: MA24 5
ISSUED TO: Gv oc~G-~ SUBDIVISION LOT
Authorized State Agent: S~o~ ~~s~s2 i o~~s Date:
w , NU ~ZCaN Cr-
C-,2CLL
Department of Environment. Health and Natural Resourm Sheet:
Division ofEnvironmentai Health
On-Site Wastewater Section Property ID:
Lot
SOILJSTrE EVALUATION File 0:
for MRI[TL WAwrmiu A raR 3YSTEhh Code:
Owner: Applicant:
Address. Date Evaluated:
Proposed Facility: Desigp FIOw (.1949): 3 60 ~ p
Lmdollof site: Pro•Pew ~C
ttecorded: rh Size:
.
❑ Spring
Watdt Siupptl Public ❑ individual ❑ Well Evaluation Method: Auger Boring ❑ Pit 171. cut.
Type of wastmate r Sews
Be ❑ lndustriat Process Minced.
P
R
0
F 90Q. MORPHOIAOY
1 .1940 .1941 OTIMR
E Po~1Landliew Horizon 1941 PROFILE FA~'1C
11 Slope % 6 •1941 .1941 3oi1 1i43
sftcwrd Cooddem WetnaW god
(15 Texture M1a~nto Color
fN.
L redly n-A $"o
-55 Y-
C
o -W v~K, X31
3
G -ao S IE ti ~rj~~ r~
rtarTa= ,7jrg~ Atha Factor. (.1946)
' Site CfA&Qlc8dan (.1948X ~J
Evaluated By
Others Present.
❑ Other
1956 ,144,E
mpr R9*
. Hats.
~5