IPACHTE# i t-~ Harnett County Department of Public Health
hDrovement Permit 2 6 5 7 7
A building permit cannot be issued with only an Improvement Permit
c ~p PROPERTY LOCATION: V) 94`Gs 910
ISSUED T0: ~C7 U'$ ►-->~1L~ p t t ~-~r" SUBDIVISION ~S~EF t1CC~ LOT # I
NEWN REPAIR EXPA SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~
Proposed Wastewater System Ty e: u n'R 0 r+-7 Frt~ Cs~cpt_
Projected Daily Flow: GPD
Number of bedrooms: Z ' 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 "KPublic ❑ Well Distance from well 1 O C~ feet Permit valid for: Five years
Permit conditions: s ❑ No expiration
Authorized State Agent:: C; Date: 5 \ 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu se~ff.Qther permits. The permit holder is respon ble 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 Improveme 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: 4 U ~t v a rnC.S PROPERTY LOCATION: MAC'-5
SUBDIVISION M-LP LOT # _
Facility Type: 5L~ C~~l'1d~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System" Qro ray6-S-~ t r, N th'4.., (Initial) Wastewater Flow: 4'~ Q GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches Q-.
Septic Tank Size ) O Q0 gallons Exact length of each trench Z 00 feet Trench Spacing: Feet on Center
Pump Tank Size VC®C? gallons Trenches shall be installed on contour at a Soil Cover: (3 ° Nk inches
Maximum Trench Depth of: °a inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
g- inches above pipe
1~. inches total
**If applicable: 1 understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is saboa-lor-reveca(ton' if th ' plan, 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 insect to compliarree,with thl+~trss the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: s-, 13
HTE#
ISSUED TO:
-s---ab~ Permit # aC5'- 77
Harnett County Department of Public Health
Site Sketch
Authorized State Agent:
PROPERTY LOCATON: ~lf',2 5 Q p
SUBDIVISION ryZD LOT # ~
~S t-i~tG~-°CozYS~ 4(~F-) Date: T3 l 1
v'D
v 3 3'
A~ It
L_cK,y,-"tj 0 oQ pa-
Department of Environment, Health and Natural ResouwAl
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIIJSITIE EVALUATION File 0:
ror ON-SI'Z'E wA3TzWATI£TISY5TE Vt Code:
Owner. Applicant:
Addrests Date Evaluated:
L~~acft. ~-c am 0999 Floor (.1949): ~,j
Pmpetty Size:
Watelt 9u Fr~petty ~eoorded:
PFD" `0,P1lb11c ❑ Individual ❑ Well ❑ Sping
Evaluadn a Mel2lod: Auger Boring ❑ Pit tut.
'Type oP Wastewater: -,Sewage ❑ Industrial process Mixed.
P
R
O
F SOM MORPHOLOOY OTHER
t .1940 .1941
L ape Haizoo 194' PROFRA FACTO
Depth M 91o~pi K ( .1941 .1941 sort .143
structww Corutstem weEnar soil
Ted Miaerelo Cater
~ .yz3'°~iv ~ x`75 ~ IN.
4'w.o c~
mar Factors (.1946)
Site Clasai&adoa (.1948) 5
Evahmted By:
Other, Present:
❑ other
1956 .1941 AvM6
SIPM tw Re* Ctarl
C
Hats. ALTAR'
,5 0-