IPACHTE# - - ~T- 2 97 Harnett County Department of Public Health
Improvement Permit 2 7 0 0 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A-/ ~C) (24)
ISSUED ~T,O/ moc SUBDIVISION'~t~ s t~ j LOT #
NEW Ld REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe: -2:--S-06 -.54c,.-
Projected Daily Flow: L1 GPD
Number of bedrooms: Number of Occupants: c max
Basement ❑Yes CNo
Pump Required: ❑Yes El No EAM"a/~ a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E3 Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State glint:: - Date: G1 " 11 _ / L SEE ATTACHED SITE SKETCH
The issuance of this permi&'e ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocatio te 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, .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: N ~z x PROPERTY LOCATION: o LP,-4 - i _
SUBDIVISION W A--r>- `rte LOT # `J
Facility Type: 12 New ~ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I2 No
Type of Wastewater System" 25?1'6 9E& s (Initial) Wastewater Flow: GPD
(See note below, if applicable
try t_si`-t -:k 1 (Repair)
Installation Requirements/Conditions Number of renches
Septic Tank Size / 'ZOO gallons Exact length of each trench 74) 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: 16 rt 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
Conditions:
inches below pipe
Aggregate Depth: L inches above pipe
/Z.... inches total
WATER LINES (IN(LUDING 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: / underrtand the ryrtem type speciped it different from the type speciTed on the application. / accept the specilicatiom 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
Authorized State A ent: Date: --Ji
Construction Authorization Expiration Date: 7
5-
HTE# M Permit # 2,--1 b6
Harnett County ]Department of iblic Health
Site Sketch
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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: Ma~C..e_
Address: Date Evaluated: t " 31 "J Z- l 2
Proposed Facility: Design Flow 949):i1V _ U Property
Size:
Location of Site: Property Recorded:
Water Supply: EI"PublicE3 Individual ❑ Well
Evaluation Method:❑ Auger Borm ❑ Spring
Type of Wastewater: ❑ Pit ❑ Cut
LJ~Sewage ❑ Industrial Process ❑ Mixed
❑ Other