IPACHTE# \ ~ Harnett County Department of Public Health
hDrovement Permit 2 6 6 5 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ®vEKt~llat.s
ISSUED T0: CJ'S Or~G ,t l ._L e. SUBDIVISION Aso -4 F- C4-o---,S LOT # 10'7
NEW`K REPAIR ❑ E~ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: v~S? ~/-~~x~ d J
Proposed Wastewater System Type: \.-.-oN y'F-~ o " R"t_.
Projected Daily Flow: 4`80 GPD
Number of bedrooms: _L-~ Number of Occupants: max
Basement ❑Yes >9, 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 10 Q feet Permit valid for. Vive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '1,'y A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees it t-k ua t of other permits. The permit holder Sis respoksible 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 Im ment 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: S-yc) N E C~z c., 55 L...L. C.. PROPERTY LOCATION: 0 'J&Q.~NU-3
SUBDIVISION ~.~1-0 tv - Cg,oss LOT # l~-
Facility Type: ` q`S) C~-to'~c O New ❑ Expansion ❑ Repair
Basement? ❑ Yes -2k No Basement Fixtures? ❑ Yes K No
Type of Wastewater System** C10 r-fv F' .r , t3 DAL- (Initial) Wastewater Flow: L-M GPD
(See note below, if applicable
C-0 r +-r~~ ` sy At. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 100 o gallons Exact length of each trench a00 feet Trench Spacing: °l Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C, -~a inches
Maximum Trench Depth of. 1$~~-'-1 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: -2L 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: /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 subject o on 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 sub ect to compliance wit r of the and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: 26s~S Date: -7~1~1
Constructitra,,Authorization Expiration Date: *1 ~ ►G
HTE# Permit #
Harnett (county Department of Public Health
Site Sketch
PROPERTY LOCATON: 0gSSL~a\ 1-LS
ISSUED TO: STo SUBDIVISION 5-S o s2 Ct~asS LOT # t ~~l
Authorized State Agent: Oz~VEr~-~~L~CSD®t Date:
S~ o N E~,1a va, 5'C fl V G
Department of Environment
Health and Natural Resou
,
rces
Divisioa of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot 0:
SOIIISITR EVALUATION
File 0:
for ON-SITE WASTEWATER SYSTEM
Code:
Owner: Applicant:
Addtem. Date Evaluated:
ProPOW Facility: y os~ 0*0 Flow (.1949):
L
i
Property Size
ocat
ot o(Site: pro
:
WaWr Supply;: Public ❑ individual ❑ Wen
Evaluadom Method:
❑ Spl~g
❑ Other
uger Boring ❑ Pit
Type ofwastewater: ewa
Se ❑ lndustriat Process .
cut.
Mlx«t -
P
A
O
P SOUL MO"HOLOOY
1
1940
07'IiER
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.1941
t.
mumm p Harizao
PROFU.g-FACTORS
Posided Depth 1941
Slope % ~ .1941 .1941
N
sOU
sa
r
i§43
956
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caytdeme wta,egr
Toxfun mlimia color
Sail
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.1941 Photgi
.
t~ Re* CAN
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45
O-a ~lr C?-~~ C-~ 3
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Host:. ALTAII
Site CiauiEcadott (.1948)3
Evahmwd By. (rx
Others Presme -