IPACHTE# Harnett County Department of Public Health
Imurovement Permit 2 6 5 6 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W
L~,E:CZ..
ISSUED TO: Ct-P.ct.ENC.6 'f'1~~~Q.4 SUBDIVISION \-J N-L~ =rL5 " Q(6 LOT # I-Y6
NEW'4 REPAIR ❑ EXPANSION I--] Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: T°1 A,., 14 o -,s
Proposed Wastewater System Type: CoNyE~t orc~L
Projected Daily Flow: 3r® GPD
Number of bedrooms: ? Number of Occupants: Co max
Basement ❑Yes No
Pump Required: ❑Yes -,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '1~1, Public ❑ Well Distance from well too feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: QQN3 Date: 5131 t1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ter permits. The permit holdfer is esponsible 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 it 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: CL-P"L-r.'tcE c --GPs t PROPERTY LOCATION:
SUBDIVISION N-1-Y .cz,s !-.,-o16 G. LOT # It
Facility Type: MAN Adm'C-- New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C-0 4-4GI-, I Q ,,r;11-, (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
C. r" V--~N y sn t (Repair)
Installation Requirements/Conditions Number of trenches L1
Septic Tank Size t-o ®d gallons Exact length of each trench S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: l~Z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
L inches below pipe
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 app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject tar if the site Ian, 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 401-to compliance t e e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
C Z1r)5 Date: 6
Constrlt~itkn Authorization Expiration Date: 3 c
HTE# 6 Permit # a(=5(. 3
Harnett County Department of I-Niblic Health
Site Sketch
ISSUED TO: C L-
Authorized State Agent:
PROPERTY LOCATON: vD
_ SUBDIVISION R \v -F- LOT # I
L®Q
Department of Environment
Health and Natural Resources
,
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property 1D:
Property
Lot
SOILISITE EVALUATION
File
for ON-SITE WASTEWATERSYSTEr4
Cade:
Owner: Applicant;
Address: Date Evaluated:
ProP°sed Faoilitp: 1(360Qms`1 Design FCow (.1949): '3,,,Q
Pmpertp Size:
Locatfoa of Bite: Proparty Recorded:
Watat Supply;
Pub13C C1 Individual ❑ Well
❑ Spring
❑ Other
Evaluadon Method:
Type of Wastewater:
Auger Boring ❑ Pit Cut.
S
❑ I
ewage
ndustrial Process CJ Mix
ed.
P
R
O
F SOIL MORPHOL.OOY
t 1940
~
1941
L Landaeape Horizon
P
ROFtt$ FA(: fOR3
1941
E Poaitta t De{rtb .1941 .1941 Sail
N slope % (10 sftcftvw Considem Wetn"d
.1043
.1956 !944 Pf otgti
Tom MtWaralo Caton
p.
IN.
Soil
Sapro Reatr CfaM
Clan Hail. A LIAR
Mon !Willa! Repair rtam Other Fact
aal (.1946k
9 n
Site Classification (.1948k P3
1. s aoa .1945
Cv N Evelwled By
,Q 1k Others Present: 'SCn
i~