IPAC RHTE# tI V~9, Harnett County Department of Public Health
Improvement Permit 2 6 5 9 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0 yE.2r,)t..is 1D
ISSUED TO: ~J'f or E. ~2cJS~ U_ C SUBDIVISION 'ZpTO-4L C%coss LOT # 1GG
NEW, REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: G7~ LSO XS' C~
Proposed Wastewater System Type: Nx E~ 1 co r4 n, t....
Projected Daily Flow: y~ O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑YesNo
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 CC~(~ feet Permit valid for: Five years
Permit conditions: - ❑ No expiration
Authorized State Agent:: ~N Date: `nl 1 Ste, 1 l SEE ATTACHED SITE SKETCH
_i I
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holder 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 Improve ent 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'T o H E- Ca oss L1_C, PROPERTY LOCATION: ®yEst~1~L1.S 9
SUBDIVISION E)76"E CaASs LOT # TO
Facility Type: SYK:) x 0~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (7-4w-4 Es~~ CJ N hl- (Initial) Wastewater Flow: GPD
(See note below, if applicable
PUsl '3 C-orayIP-*r''0N~I-• (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size lCO U gallons Exact length of each trench `~3c}O feet Trench Spacing: c) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Q - inches
Maximum Trench Depth of: 1%-WA 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: ~pC~L>G;~,Ns~s LS-5 \a, inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /under tand the system type soecifed is different from the type speciped on the app/ication. / accept the rpecificationr of thin permit.
Owner/Legal Representative Ign Date:
This Construction Authorization is subject to revocation if the Ian, pla 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 so ' ompliance with t visi Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: y P_I;_*_)_16 Date: 7 1 d 13 %
Construction thorization Expiration Date: Y3„ 16
HTE# `D-1 ~ Permit # a6 " '1
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON: C~Vt-;~bN-\) -~-s VD
ISSUED TO: SUBDIVISION zyN E Gc2~ ~5 LOT # t o C~
Authorized State Agent: >s~Otwf~t. i~L c>otZ~ Date: -7,Ya.N 1N
11} j
1 Oa.,,~
~"'s'OhtC.U UQrS~- S?6Lti V
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
s0Ujsru EVALUATION Fite
ror ON-SITv w Code:
STEWATE$ ax a I Lm-
Owner Applicant:
Addrm.- Dato Evaluated: \
Proposed Facility: v, e-G-Oa00 rc, Deslgp Flow (.1949): X41 CS
Property Sipe:
Locadoti Site: Property Recorded:
er Su
Wat
pply; Public ❑ Individual Wen
❑ Spring
Evaluatlon Method: uger Baring ® Pk El,
Type of wastewater: S
cut.
ewage ❑ Industrial Process C]
Mixed.
F
R
O
F
t
1940
SOIL luo"HOLOOY
~
I uW-
.
L i andzapn
.1941
Horizon
FRORM FACTOR,
.1943.
posiflaw
11 Stops % ~ • 1941 .1941 341
3tr
J
1§43
uctun
Conddems Wetneu!
TaMv» mbmlo Color
soil
IN
1 L
.
A
❑ Other
.1956 194•{ 1! umi
3tPro Restr aw
Clue Hais. ALT"
SSite ClesaiQcatlon (,1948X;
Evahated By: c31~
Others Pre=t: -