IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 5 8 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: PONcr--"'5+' ?-D
ISSUED TO: V g V-s C-1.3 A!sr-, `LVC'T t 0 t'S SUBDIVISION GAtt o a.~ N~, Sc1,s 0 N.s LOT # 5`9_
NEW REPAIR EXPA~ N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 i~- .6 G6CJ~xx-1'1"J
Proposed Wastewater System T pe: VcryP ~o~aoUG~ Igs~
Projected Daily Flow: LA4~ GPD
Number of bedrooms:
u
Basement ❑Yes
XNo
Pump Required:104rs
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
Number of Occupants: $ max
❑ May be required based on final location and elevations of facilities
X Public ❑ Well Distance from well 10 a feet Permit valid for: )5~ Five years
1~ ❑ No expiration
Authorized State Agent:: ---s.. Date: C.,1 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther 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 Improvemee 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, .1957, .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: g V t t. C-V,3S, 2VC.,1 0 N PROPERTY LOCATION: P a c i OC-n 45 S>. 94
SUBDIVISION CIFMOLtr-4 A SEP.50 w5 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes "R No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** 'P V M Q " C c, ra-5 0 V-r,L7 VGA Q W l Sys-rC--r- (Initial) Wastewater Flow: C1 GIRD
(See note below, if applicable
V 2Ta a.S`fI(I Q-f:JuG, t o tl (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t O O o gallons Exact length of each trench S G feet Trench Spacing: Feet on Center
Pump Tank Size °O 0 gallons Trenches shall be installed on contour at a Soil Cover: C inches
Maximum Trench Depth of. 13 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su ' to revocation if the site 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 is subjekto complia wt e s~ro not the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: yy Date: 6 -,s
uction Authorization Expiration Date: 6
HTE# 1 1 S---a-CR C L~
Permit #
Harnett County Department of ublic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: IPO r-4 0
1 SUBDIVISION CNcLo i -i N LOT # 58 ^
o Lf spo(~ ate: S- ) ~
1DS
Department of EwAronmenk Health and Natural Resources Sheet:
Divisioa of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOWS= EVALUATION File M:
for ON-SiTz WA3TXWATE.R8V3TEr4 Code:
Owner: Applicant:
Addrea:.
Date Evaluated:
Proposed Facility: L)o G
L
DO P Flow (.1949):
"
P r'01' Size:
ocatiopm of Site:
Prope
rty
Recorded:
.
Water Supple : Z
llt; [j bulMdual ❑ Well
A
❑ Spdng
Evaluation
tha-
Type of Wastewater:
ger
Boring ❑ Pit
S
~
cut
ewage ❑ Industrial Piocess
Mixed
r
A
O
F
1
1940
SOIL MORP1i0L00Y
arm
.
Pe Harizaa
.1941
PROFILE-FACTC
a slope 7b ~
194
• 1941 .1941 sal
Str
d
} 43
vatur
Candkence We4~ed
Te • Mtnenio
CaI r
Sail
IN
L5
l
.
Site ClmsiBcation (.1948) S
Evehmted By:
Others Presme
❑ Other
.1956 .1941 Pffoilli
9epm Re*
CIA" Raris. 4 LTA1!'
F S
s~