IPACHTE# 0G Harnett County Department of Public Health
Imarovement Permit 2 6 5 6 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M A2,4.6 etD
ISSUED T0: Cv ~+aC-cLtFls~a ~~a IFS SUBDIVISION NS%AE~au~, LOT # 3S.
NEW '5k/ REPAIR 1 J XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5V~ SS--A }
Proposed Wastewater System Type: "Q&. ucs ~ o,.t S-"iVA
Projected Daily Flow: 3 C~10 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 X Public ❑ Well Distance from well k 00 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: -n Date: 5 11 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ' u e of other 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 Im ment 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 TO: C-v r-% a6SQ,1-pv-1 p ~o NIF5 PROPERTY LOCATION: M A2`~ S
SUBDIVISION Pis»EFOM LOT # 3L
facility Type: G New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~Z No
Type of Wastewater System** ?S°lo you Cam) O S I s 7 [sw (Initial) Wastewater Flow: 3f-' b GPD
(See note below, if applicable
2.~ °~o ~E.~ y G'S1 d N 5y s~ Gsv~ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size \ d (!)C7 gallons Exact length of each trench 'i10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: oft-i-30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover: 12•~ 1% inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specipcations of this permit.
Owner/Legal Representative Sig Date:
This Construction Authorization is subject to revocations site p pla( 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 subjt~,td~mpliance wit ft~n f Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RZ)-)15 Date:
Cotl3#Luction Authorization Expiration Date:
HTE# 11 Permit # a65~~
Harnett County Department of I'Vblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: C-U M L N9 me SUBDIVISION ~s1~'c'F42~ LOT # -~L_
Authorized State Agent: -~iS'lb~~VC~L OUDate: 5 11\I 1\
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Department of Environment, Health and Natural Resourm
Division of Environmental Health
shed:
On-Site Wastewater Section
PMperty ED:
Lot
SOIL/SITE !EVALUATION
File
for ON-SITE WASTMATERSYSTEM:
Code:
Owner. Applicant:
Address: Date Evaluated:
cilit
md F
m
a
y: DCdP FLOW (.1949Y 83 ~ ,
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i
L
Ptoerty Size:
ocatl0l
of 3ita:
9u FrO Recorded:
W
ater
pA 4PubI10 ® individual ❑ Well
Evaluation Me" 13 A
❑ Sptin6 ❑ Other
uger Boring 0 Pit
Types of Wastewater
S
~
.
map ❑ Irdwwal Process
Mixed.
P
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O
P SOM M
ORPHOLOOY
1
1940
OTHER
.
.1941
L ape Horizoe
PROFU FgR'1OR9
1941
a Slo~p K 1941 .1941 soil
tru~lurd
S CandMeace Wefneez/
043
t9Jd
944 Ptolll®
Ted Mta~nto Cater
$ou S,
QY, Claspro s
Re* Cm
.
Hats. L7°A>!
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1 -.1'Zcc~ ~ yZ s4.L '~L 5
51
5
30 s e ~~L ~L ,P
t5 ,
'LV j L, p\ ~ S EC
P Site C1auiHcadon (.1948X
'v , E'Z' Ev"ted By: , s Other', Prexnt: