IPACHTE# E' -5Harnett County Department of Public Health
ImDrovement Permit 26578
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: G rZ^1fP.'c,
ISSUED TO: 't~%L-Pc CE'sME2GN SUBDIVISION '60<LtZ-C-UF- 1(wN°to-,f LOT #
NEW' REPAIR ❑ ES10N El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sy® ~
Proposed Wastewater System Type: tGw
Projected Daily Flow: 3~.® 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: ❑ Community Public ❑ Well Distance from well 1C'~ feet Permit valid for: Five years
Permit conditions:` c ❑ No expiration
Authorized State Agent:: ` W--N15 Date: 61 2 "11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departme t in no way guarantees the i f other permits. The permit holder is re ponsible 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 Improv ~t 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: L4\ 4 CP\MZSW N PROPERTY LOCATION: G2P~i~+.cr Q..L~
SUBDIVISION $KLZ6.GUG 1s, 03Ave LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes :~5No
Type of Wastewater System** c~.S°!oCov~~ -4 syn C-- "N (Initial) Wastewater Flow: 344 GPD
(See note below, if applicable
O-S°fa a~4VG7 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ~Oo gallons Exact length of each trench 1OO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. N%-~-~-i 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: (O _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (IN(LUDING 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 speciped is different from the type speciTed an the application. / accept the specifications of this permit
ntative Signature:
Date:
This Construction Authorization is sublet cation if the site plan, plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subict to compliane~,Vith t_ sio the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ac;"-~o Date: fLQ, 1)
Cons ion Authorization Expiration Date; 6 -
HTE# it O Permit #
Harnett County Department of V lic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
3 /6 y
GZ6wQ~
P.LD'o
S=
PROPERTY LO(ATON: (;,u,I,A
SUBDIVISION ~Ea<z $~GU 'Td ~a cv sta \P LOT #
ate:'
Department of Environment, Health and Natural Resources
Division of Environmental Health
Shed:
On-Site Wastewater section
Property ID:
Lot
SOJUSNE EVALUATION
File M.
for ON-SITZ WAgTICWATER SYSTEM
Code:
Owner. Applicant;
Address:. Date Evaluated:
`
p Facility: c~czr q Deslgp Flow (1949): ' Ito 5 e e)
Property Size:
Location of Site: Property Recorded:
WatCt 9upptjr; Pub>lC (I Ll Mdual ❑ Well
Evaluadoa Method: Auger Borin
[I Fi
13 Spring
❑ Other
g
t
Type of wastewater. sewage ❑ Industrial Process
cut.
Mixed
P
R
0
! IAOY
t
1940
OTHER
.
L
radecaj
PROlR.H AR'iOR3
l
knsidem .1942
.1941Sari
N Slope % nilkem w etaaaf
1043
,956 Pblthi
Calor
%
A
9
pro claw Cteae
di LTi
16
5~f t (L 7
C- va
Z>"K
c., g S15P S
•3
(tx
utaa Factors I M)
Site Classification (.19482 P`~
Evaluated By: or`-
Others present. ,