IPAC RHTE# 11 °s=--AQ-Ln0- Harnett County Department of Public Health
Improvement Permit 26664
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: cK) ou
ISSUED TO: NA "I rkrA 0U)cr"C 101, SUBDIVISION !So anc-,C-s -"y\ -%L%._ LOT #
NEW REPAIR ❑ EXPAN ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 'C)
Proposed Wastewater System Type: Pv r- R `mod 2$G° O ~U c:5 No N
Projected Daily Flow: ® GPD
Number of bedrooms: Number of Occupants: max
Basement ❑'Y~es~` `Xio
Pump Required. 6es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A, Public ❑ Well Distance from well l bb feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~ ~ t ~5 Date: _1 Y% 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is ert e other permits. The permit holds is 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 Improvement 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, .1956. 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: 4` -1r4N Ca C --511T ctvc-"~) 0Y1 PROPERTY LOCATION: M C200v6t~t,p ~-fo
SUBDIVISION Su r,rne{z- N N.- i- LOT # 15
Facilitv Tvne: 5vc(t'~~~ New F-1 Fxnansinn F-1 Renoir
Basement? ❑ Yes '54, No Basement Fixtures? ❑ Yes -;2f,No
Type of Wastewater System** ~u v*- -V Is a-S"lo ~Cay 0S) a A 5 SGT (Initial) Wastewater Flow: 310 GPD
(See note below, if applicable Elv ~a a.S~lo ANJC's1'3 N (Repair) `off ~~TF. ~P+5EM6nt<~
Installation Requirements/Conditions Number of trenches _
Septic Tank Size C O ® c) 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: N % 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: QS-A' 'c-, ~Q~FSa Qu 81109 05P.t- 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 application. / accept the spec/pcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 su j m Ii with the rov' of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: xS Date: S1
Constt n Authorization Expiration Date: `7 % ► 6
HTE# Permit # , 4
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: M COO U G ALo
ISSUED TO:7+v rK v cRi~to SUBDIVISION LOT #
Authorized State Agent: CZEY Date: 1 N
S ~E. G OQ,O G~
1j
Deportment of Environment Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot Property
SOMME EVALUATION File
ror ON-SITE WASTEWA RSYSTEM; Code:
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Desigp Flow (.1949): Froperty Size:
LacadotE Site: Properly Recorded: WatetsuppCr; Pubd ❑ Individual ❑ Well ❑ Spiring ❑ Other
Evaluation Mfaltod: ~ Auger Boring ❑ pit .
Type of Wastmtm- Sewage ❑ LdwWal Process 0 Mixer.
R
O
F
90a. MORPHOLOGY
OT
1 .1940
L
O p
Horizon
.1941
HER
PROFIIB FAC LOR
3
02,
9 rosNiod
Depth
.1941
.1941
1941
Soil
143
p Slope %
(la)
Structurd
®1du~
T
Condetaaoo
Mlnr
sf
Wetned
.1936
loll S®Pro
.1944 Frolq®
ft* Ctvi
s
r
a
Catar
01. CIA=
Hods. dl LTAR
C-1-
Cc,
1()- 10
G s
v~,,SlW
E IG
FtZ s5
J0`)2
S~% L
umdr Factors (.1946)
Site Classification (.1948)
Evaluated By:
Others Present: