IPACHTE# -S --Zkk L 6 Harnett County Department of Public Health
Improvement Permit 26588
A building permit cannot be issued with only an Improvement Pe it
PROPERTY LOCATI : 7 -3 G {~.p
ISSUED T0: SUBDIVISION t~O s,S 0-> J--% LOT #
NEW, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 ~ =
Proposed Wastewater System Type: S"~ o ~tA ~C:> i~ nt Sy3-; E
Projected Daily Flow: 3 C7 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ~No
Pump Required: ❑Yes ~KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well It )Q feet Permit valid for: Five years
Permit conditions: : _ ❑ No expiration
Authorized State Agent:: y \'J--NS Date: 1a-, )ii t ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holdh is resonsible 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 Improve 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: 'Q> A-- PROPERTY LOCATION: ►:`s~Eea
SUBDIVISION 'PQ~ O SJS a, ~i LOT # 77
Facility Type: SR'~) LS3-'~3~~ XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes "X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" ~-6flUGi gd Y4 S-tS-'s V-- K, (Initial) Wastewater Flow: ~ GPD
(See note below, if applicable
a; V n oUG; t O•N Sys ~rrs~ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size l ® O~ gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: - inches
Maximum Trench Depth of: 11 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
inches below pipe
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 app/icatiom / accept the speciflcations of this permit.
Owner/Legal Repres i nature: Date:
This Construction Authorization is subject to revoc 'f the si Ian, plat, he intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization issue compliance wit pro a Lawt{~a Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construct) uthorization Expiration Date:
HTE# r ) - 5 2-~ Permit # ~~'i
Harnett County Department of ni lic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: )eve N
_ SUBDIVISION f,0~7Se)~a LOT #
~SLO~rIE2~OLSSiXy~Date:
0
1 ~a-
~ y C-PLt~i G2- ~ GL
Department of Environment, Health and Natu m! Remurce9
Division of Environmental Health
Sheet:
On-Site Wastewater Secdoa
Property ID:
Lot
SOIUSITR EVALUATION
File 0:
for ON-SITE WASTEWATEILSYSTEMF
Code:
Owner. Applicant:
Address:. Date EvallLatad:
Proposed Facility: 3 Design Flow (.1949): 3 So,:~
Property Size:
ocatloa of Site: PrDperty Recorded:
WatCt $uppljr 00 ❑ Individual ❑ Well
um
rin
❑
Evaluation Method: uger Boring ® Pit
Type of Wastewater
Sp
g ❑ Other
e~
Se ❑ Industrial Process
i4lixed
P
A
O
P SOIL MORPHOLAOY
1
1940
OTHER
.
.1941
L Landteap~ Haizoo
PROt7Lg-fACTOR3
1949
E Powdow VqA .1941 .1941
soil
N Slope li (ia,) Strucnsrd Candkean Welnad
•'Y`
•t44s .1916
1944 Ptoitli
Tom" Mlamlo Color
9
011
[N. S®pro
Cfaq
ft* CIAO .
Hods. AUAR'
Q lr
d ~`T ~J ' ZJ l ~1, v~ all
3ita Ctaq"cattan (.1948, $
Eva ted By:
Prexnt: