IPACHTE# 1Harnett County Department of Public Health
Improvement Permit 2 6 5 9 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1a1L~ cn~~i G2crV& ~?-D
ISSUED TO: ~1 rn V c' SUBDIVISION ~A ',CX-0Q,;i '~;-RQ,-, 4$ LOT #
NEW)< REPAIR ❑ XPANSION ❑ l Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M Psc,t V-) n cnG VYL 'i^1 0 l
Proposed Wastewater System Type: 85°jt, --a, OF )!6-, 6~
Projected Daily Flow: 36 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 ❑ Public X Well Distance from well I oQ~ feet Permit valid for: ^FFive years
Permit conditions: a~ ❑ No expiration
Authorized State Agent:: Date: b a-3 1 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i cg of other permits. The permit holder is resp isible 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 Impr v 4r 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 TO: VINrrr, °~ov PROPERTY LOCATION: t'.+J Gc~c~vG
SUBDIVISION , c,--0 V d "4-- G5 LOT #
Facility Type: ft*- )iAt ML New ❑ Expansion ❑ Repair -IF Basement? ❑ Yes No Basement Fixtures? ❑YesNo
Type of Wastewater System** GSJ-1 0 N ~5 Jt, TE,rr~ (Initial) Wastewater flow: 3C0 GPD
(See note below, if applicable
EoyC.g:~\ Q aJ E:.sy\ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size %0013 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1.,'aS feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
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 di/ferent from the type specified on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
This Construction Authorization is subject to revoca' 'f the site p
'K, 1
Construction Authorization is subject~to compliance r& the pr s of aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Trench Spacing: 1 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
Authorized State Agent: 1~5 Date: C-
Constr Authorization Expiration Date: L
HTE# Permit # `~~,5 e1
Harnett County. Department of niblic Health
Site Sketch
PROPERTY LOCATON: v G ~Sa
ISSUED TO: k-~ SUBDIVISION H c~X achy 5F'4t.'INGS LOT #
Authorized State Agent:`1~5 ate: ro a 11 T_~ e _
S j
\11~~ TC~
Srz »0Q
Ewn C
5
) 6,
DePaitment of Emimamenk Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOMME EVALUATION
File 0:
for OM-SITE WASTEWATERSYSTEM.
Code:
Owner Applicant:
Address:. Data Evaluated:
Pro
osed Facilit
3
r
p
3
:
~Q a DOP Flow (.1949): 3G d
r
d
p
Fmerty Size:
:
Loca
o~t $ite: Ffoparty Recorded:
WatCrr SuppCji:: ❑ PuW ❑ Individual well
E
l
i
M
❑ Spring
❑ O
h
va
uat
on
e hod: Auger Boring ❑ Pk Cut
Type of Wastewater: S
t
er
ewage ❑ Industrial process 0 M
e&
P
R
O
<r . SOIL MORPHOWOY
t
1940
R
.
.1941
L ape Harizoa
PROFILE EARTI'ORS
E Poeitiad Depth .1941
3 Slope % (hL) • 1941 .1941 Soil
stucmw Co wdem wetand
.
14431
1956 .1944 PhM#
To Miarnto Color
L6a
0
Soil
sapre Restr Clot .
CIA" Hats. ALUX
~
, P1,
8C, L
2 a
i>
4 C~ ~ ~IRZ ,~ss~
Site Classification (,1948) t-)
Evaluated By:
Otheas PresetL.
rn