IPACHTE# Harnett County Department of Public Health
hDrovement Permit 26917
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO- ~V4/I C02 J'7'- SUBDIVISION Tr~f'~c r .~%d LOT #
NEW EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: AC o I 4-Ufa
Proposed Wastewater System Type:
Projected Daily Flow: 6(30 GPD
Number of bedrooms: Number of Occupants: g 0 max
Basement ❑Yes li No'
Pump Required: ❑Yes 1; No ❑-Max be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 4,> wa: ,.If Date: 349Z 'mil SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranteThe issuance of other permits. The permit holder 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
Reauired 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: ___•/A A C04.rlp-m cfif-cy-- PROPERTY LOCATION: ~ -fId
r` ~ 4 a~ LOT #
/ SUBDIVISION 7-2-
Facility Type: A ( c /'7-~,,,,fz P"New ❑ Expansion ❑ Repair
Basement? ❑ Yes R'lo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** P~ (Initial) Wastewater Flow: 600 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 145-00 gallons Exact length of each trench 60 feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: CI inches
Maximum Trench Depth of: Wc/ 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:-~)r""' r",-CVfy. inches total
"I c tf rzi e Al-r f s f/C ~ 7 C
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: I understand the system type specified is different from the type specified on the app127#on. / accept the specifications 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 subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
G
Authorized State Agent• Date: a 2- 2 `/z__
Construction Authorization Expiration Date: 2
Z -S= 26 / y7
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Department of Environment; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: ZI'2 ~Z-
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: % Public❑ Individual ❑ Well
Evaluation Method:0 Auger B9rifi9 ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Other
❑ Mixed