IPACHTE#-\A -5 'A L) Harnett County Department of Public Health
Improvement Permit 2 6 5 9 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Cool, SP2i,aC5
ISSUED TO: SUBDIVISION M A::5 a+„ H Lz. LOT # 1-3,
NEW RE AIR ❑ EXPANSION 1:1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: TY1Z~' nJ . Ado I, "S ~Y2S ;S1
Proposed Wastewater System Type: o 9-JI50U C.l t Q 1-3
Projected Daily Flow: '1> L CJ 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 ❑ Well Distance from well tC)CG feet Permit valid for: Five years
Permit conditions: ❑ o expiration
Authorized State Agent:: Date: ~ °7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance he rmits. The permit holder is resp nsible or 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 Improvement II 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: V5(~*' IV4 e. PROPERTY LOCATION: Ca,,-- )n1Cs
AVC _ SUBDIVISION MP, o-j t LOT # S~-•
Facility Type: AN n I'X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** ~Gpv(A~o N 5y:: GjfN (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
~.S°~a `~£t~l>G-s ~>J Cv e.-c2ASl-~AU-ts~~(Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size N 4C(Z) gallons Exact length of each trench acs a feet Trench Spacin : Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: I under fond the sr stem type specified is different from the type .specified on the app/icatiom / accept the specifications of this permit.
Owner/Legal Representative Sign Date:
This Construction Authorization is subject to rev Lion i site flat 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 su eY~t npliance w he ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
>'-~5 Date: 71 `7 I ) 1
Authorization Expiration Date:
HTE# 1 rJ ~,c~ X4tA Permit # S q'~
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
ai' )
0
PROPERTY LOCATON: Coot, 'Z 2N N GS
SUBDIVISION M pON ) -L LOT # _
Lute: "l 1"71
~~0
r'' LZ 2.,.1
Department of Environment, Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOIUSITR EVALUATION
File ii:
for ON-SITE; WASTmAT)mSYsim
Code:
Owner. Applicant;
Address:. Date Evaluated: 7 /z, l r
LProposod Fame. 161C-~ Flow (.1949): DSO CX)
io
Property Size:
ocat
lE 9iter. Property lecorded:
Watei±$uppCp; (,~Publ1C ❑ Individual ❑ Well
❑ Spring ❑ Oth
Evaluatica Method: ❑ Auger Baring [fit cut.
er
Type of Wastewater: U-SCM90 ❑ Idustrial Process C] ML ,%C&
P
R
O
1 SOIL MORPHOLOGY
1 .1940
1941
OTHER
.
es Haiaas
1943
PAOFU FAt'TOR9
f.
.
9 Posided
M Slaps % `tom h .1941 .1941 Soil
strucmW Cbrfiddnae
wetneu!
, :
:10'a
1916
8oi1
.1944 [
Texture (Mtaurk Color
S°pro
ue
RC*
Hats.
L_Al
41
C /o k
T , 7 h/ V .r V lU~N°
C-Z--YZ Su~t~ C r r
c2( l~ e 1 t f jQ~ 1L.7/Z 2e
f?
Site ClLWCadon (.1948k ~-S
.o Evehutted By:or~'
Others Freme B n,y