IPAC RHTE# ~1Harnett County Department of Public Health
Improvement Permit 2 6 5 5 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 t C Z .o t
ISSUED T0: ~-yc.P,S SUBDIVISION LOT # =t-
NEWX REPAIR EXPANSION ❑ 1
Type of Structure: M PRrS i~` ~Q t'`1& ` -A 6')
Proposed Wastewater System Type: ~t6w ; c s N Sh l-,
Projected Daily Flow: ').u0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ',K,No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '-1 ' XS-' ) t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issss nc ther permits. The permit hold r is resp nsib elel 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 Improvemen 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: PROPERTY LOCATION'71;r-, CVQa)w 3-b
SUBDIVISION LOT # 4-
Facility Type: Mf'-( 1A0 rnE. (1`--~ '"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System** C4 r,4-4s-r, c~ SU SkL,
(See note below, if applicable C~o aa-trc~' lG ~ P, I--. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size `0C'O 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions: 9cnrn,~ S
So ~ ~ SG.,E,.V~r t5
Exact length of each trench ',~00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 14 -a~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: alia GPD
Trench Spacing: g Feet on Center
Soil Cover: 6 Y~-. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: Fi~ inches above pipe
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 Date:
This Construction Authorization is subject to revocation if the si lat, 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 s to complianci~ h tlt sions of t s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t A,
Constructio thorization Expiration Date: ~-1
HTE# 5-2(-U~5ra. Permit # X55]
Harnett County Department of 'V blic Health
Site Sketch
PROPERTY N.
ISSUED TO: SUBDIVISION ~ r~ Guruz,.~ ~ LOT #
~
Authorized State Agent:
~N6~.E55
6C1.?is5
C~~E. 11
~hd le
/
® 1
1
r,j 3-4 Et3I Z33'
v~l
l 1`r\ CGV {24-?- \ N V-
~n
c3~
Department of Environment. Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot 0:
SOILJSITE EVALUATION
File
for ON-SITE WASTEWATER. SYSTEM:
Code:
Owner. Applicant:
Address:. a Data Evaluated: ~LA Q
Proposed Facility D9dP FtOw (3949): 4-~Q
Property Size:
Location Site. Property lternrded:
Watet $ilppfjt; ` Pub#6 0 bftdual ❑ Well
' M
dng ❑ Oth
❑ S
r
Evaluadon
ethod: Auger Boring ❑ pit
Type of Wastewater: S
❑
~
p
e
t~
ewage
Industrial Process [
Mhed
P
R
O
F SOR. MORPHOLOGY
1940 t
alt
.
Laul .1941
p Harizos
PROFtI.B PAt'1OR3
1941
E Posi
a Slope •1941 .1941 8011
Strucuw Candkeeiee We4teW
1043
1916 Ig44
Plolll~
TOM" Mirmlo Cater
9oi1 Sspro R
IN. Clue Bads
Clui
RiLTAI
.
:5 3)L
~c1 7UK rJ~- ~f1
\ 5
C 15
S,9 NIL 5 ';Zrl- 5 5 ~ 7.P
1 tj
ftepw gum Othef Factors (.19946-
Site ClassiEcadou (.1948-
"r cvN Evaluated By: o
Others present: G