IPAC RHTE# `-~--s Harnett County Department o Public Health
I Drovement Permit 26971
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N
ISSUED TO: 4 N ` 1 7 ~ SUBDIVISION Ca w S%i ®11-+K5 LOT #
NEW REPAIR L~ ENSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 33~
py~~®sJ
Proposed Wastewater System Type: PvP47w ZJ~/G
Projected Daily Flow: -2> 4 Q GPD
Number of bedrooms: 3 Number of Occupants: ~ max
Basement ❑Yes No
Pump Required }'es ❑ No El May be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community A Public ❑ Well Distance from well 10® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is respon ible 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 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. Q
ISSUED TO: PROPERTY LOCATION: C.10S
SUBDIVISION G~,~+G>v ®~GS LOT #
Facility Type: Sl;-g New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -XNo
Type of Wastewater System** Qy m VG \0 W ~ MP', t,, G (Initial) Wastewater Flow: 'X ® GPD
(See note below, if applicable p
Installation Requirements/Conditions
Septic Tank Size 1C) gallons
Pump Tank Size 1-0®® gallons
Pump Requirements: ft. TDH vs.
Number of trenches 14
Exact length of each trench -75' feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: YD- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Conditions: 4 31'i~sL.a'-t0 Ve3 z.,+ ES a~
Trench Spacing: 1 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
t,G. ~ CPS
\WF"C 1-0
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED I 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 Representaf ature: Date:
This Construction Authorization is subject to revoca i ' 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 ik-qb~" complian ah a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ' Date: 3
Con ion Authorization Expiration Date:
HTE#
Permit # a6 'n
Arnett County Department of Public _ e(alth
Site Sketch
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P~ G' 1 r"p, L, Caw
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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
Sheet:
Property ID:
Lot
File
Code:
Owner: Applicant:
Address: Date Evaluated: <<
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: tl~ublic❑ Individual ❑ Well ❑ S rin
Evaluation Method Au Boring El Pit p g
Type of Wastewater: ❑ Cut
Sewage ❑ Industrial Process ❑ Mixed
❑ Other