IPACHTE# I--5-a6 ~s- Harnett County Department of Public Health
Improvement Permit 26 564
A building permit cannot be issued with only an Improvement Permit_ PROPERTY LOCATION: P6 No fls 2A1 L,
ISSUED TO: sc Ln-)-1 1:1,~Neq, SUBDIVISION LOT #
NEW 'R REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF~ ( LA-C,
Proposed Wastewater System Type: cr)~/a A UG°,l o r s 5 y576-m
Projected Daily Flow: 3.(,c GPD
Number of bedrooms: 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: El Community Public El Well Distance from well t 6C~ feet Permit valid for: five years
Permit conditions: lk ❑ No expiration
Authorized State Agent:: ~ v -a5 Date: 111 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o er permits. The permit holder 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 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: Sof is Q-, rf OS-V--S PROPERTY LOCATION: 0000
SUBDIVISION C-,P2ot-1~4a StPSartS LOT # \ti'Z-
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** D-s "'ld u vt~ CT N S ys r(-'t" (Initial) Wastewater Flow: 3J,O GPD
(See note below, if applicable
D-(-;-pja RE )QC-~N O l 1s )Ern (Repair)
Installation Requirements/Conditions Number of trenches 1_
Septic Tank Size `QO y gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench DePth of• 2k0" 3®
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: 'R' -)'I inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Cnnstnirtinn Anthnrintinn is tuhiert to revnratinn if the site nlan. nlat. 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_*ect to compliance *r Lthe pr ' i se Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Agent: RCS Date:
Construction horization Expiration Date:
HTE#
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Po~.►c~" p,~~2.p,~ I,
ISSUED T0: ~Jo u ill ~~y - ~0 SUBDIVISION ~.AQ~itl N P. 5 Fps Q N5 LOT # 1 ?0,
Authorized State Agent: LA-f ~ Date: _541-11)
) Li<i
Permit # a(,Sjrn4
5EN,~"a.N -Mvvc-
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health •
On-Site Wastewater Section Property 1D:
Lot
SOIIdSIn EVALUATION File 0:
for OMAITF WAS Code:
TEWA
I
1£1g.9Y9T6M
Owner. Applicant;
Address; . Date Evacuated: \
: -s 6~
Proposed Facilit
r
y
0 2 i
• Design F1dw (.1949): 3 C
d
Pro" Size:
Location of Sitar. Fropeity Recorded:
9u
Water
ppC r; t
b& ® Wividual ❑ Well
Bvalu~ad
a Mtthod
❑ Spring
❑ Other
c
Auger
: Boring ❑ Pit .
Type d Wastewaterr:
Cut
ewage ❑ Nustrial Pmcess
Mixed.
P
A
0
F SOIL MORPHO[AOY
1
1940
771ER
.
.1941
L L°n NS ap Horizon
PROMI FAiL*1 OR9
.194'
E Posidad
Depth 9 poops K ~ .1941 .1941 sail
Sftclwd Conddence wetnow
`
.1843
.1946
19,44
Pto11I®
Texl~ Minenlo color
t Z 5 3a
soil
94Prv Re*
Clew Hoeft.
Cteeir
Ai LTAR
i
'
'
°r•~ War Factors (.1946)
Site C1830catioa (.1948) e5
Evaluated By: r
Others Fresm
txaza . _ .60