IPACHTE# o-5--a~~o5 Harnett County Department of Public Health
Improvement Permit 26220
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-,c) P~
ISSUED T0: PamES C-,v ~S SUBDIVISION LOT #
NEW:EX REPAIR ❑ E%PJION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'E- 0 L,r,
Proposed Wastewater System Type: Pu rn 7 o tvv ,~.b>J
Projected Daily Flow: "3~ C) GPD
Number of bedrooms: 3 Number of Occupants: -r max
Basement ❑Yes ?1 No
Pump Required: ❑Yes ❑ No 'e?~May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ac~., Public ❑ Well Distance from well d
feet Permit valid for Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: RG Date: O \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o permits. The permit holder is res nsible 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, .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: J ~ s ~ v
Facility Type
Basement?
❑ Yes ~a No
Type of Wastewater System**
(See note below, if applicable
PROPERTY LOCATION: oo 14
SUBDIVISION VPNNOGaGEZ~FC 4}rZ. LOT # ':::t._
New ❑ Expansion ❑ Repair
Basement Fixtures?? ❑ Yes No
v q -T a Cl-) -J E rr: s ON NL.
P~ MC' Q C-0 N C--NN N ',N L. (Repair)
Installation Requirements/Conditions Number of trenches a.
Septic Tank Size 10 C o gallons Exact length of each trench 1 S O feet
Pump Tank Size LO C) gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2.Lj inches
(Trench bottoms shall be level to +/-1/4-
in all directions)
P
(Initial) Wastewater Flow: 340 _ GPD
Trench Spacing: Feet on Center
Soil Cover. ~Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
ump Requirements: ft. TDH vs. GPM
inches below pipe
Conditions: Aggregate Depth: inches above pipe
~F \t+N•~j Q H~1N~ o ~E ~En~C~ -n
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 ryrtem type rpeciled it different from the type .rpeciled on the app/ication. / accept the soecillcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca nit 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 co tRliance with theovr (caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
'251_
Authorized State Agent: Date:
Constru ' n Authorization Expiration Date:
HTE# Permit # x-60
11"ll-liett County De
I)~u•tlrlc~rlt of I'Irblic~ Health
Site Shetch
PROPERTY LOCATON:_ _L-00e f-D
ISSUED T0: SUBDIVISION V^~OF2~~ ~wc,~ LOT # 31
Authorized State Agent: mow, bt,v oL~saortF Date: `1 1 0' l0
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Department of Environment, Health and Natwal Resources Shed:
Division of EaviroameaW Health Property ID:
On-Site Wastewater Section Lot
SOIIJsr" )VALUATION File
Code:
for ON-81TE WASTEWATZR SYSTEX
Owner: Applicant:
Address: Date Evaluated:`? a~
Proposed FxWty: 3 K--oant-- Design MOW (.1949p, P Size:
Locadon of Sites v u Frcpart~t recorded:
Watet Supply: Pubic Q Individual ❑ Well ❑ spring ❑ Other
Evalu don Method: Auger Boring ❑ Pit Cut
Type of Wbtewater: Sewage ❑ Industrial Process mled
P
it
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F
Sort. NORPHOLOOY
OTHER
1
.1940
,1941
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.1944
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Site ClassiHcadon (.1941IX VEvaluated By: e ,S
Others Remit: