IPACHTE# I C>- S- a ~4-7 Harnett County Department of Public Health
ImDrovement Permit 2 6 2 4 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: MAQ~s
ISSUED TO: Cur,1P~E21~oc.~p ~T10M~~ )}1G SUBDIVISION ~~~Fi~O(ZD LOT #
NEW REPAI ❑PANSION 11
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~~65-'-,-' ~
Proposed Wastewater System Type: C o rr~t e;r rC 1c Q N,-
Projected Daily Flow: 360 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes -,K No
Pump Required: ❑Yes i4te AMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 18~ feet Permit valid for IE~f years
Permit conditions: ❑ No expiration
Authorized State Agent:: 5 Date: `171 In SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit ho er 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, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be instalkd in accordance
with the attached system layout.
ISSUED T0: Cut~,o ~1pm 11~C. PROPERTY LOCATION: N1 A'2`~`7 SD
r ^ SUBDIVISION ~17>~ EFoa9 LOT # c S
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes ~XNo
Type of Wastewater System" Co w Gr~ fd %4 o' I- (Initial) Wastewater Flow: GPD
(See note below, if applicable
(7-0 '4 'J E~...T` , 0 N 'Al- (Repair)
Installation Requirements/Conditions Number of trenches \
Septic Tank Size ~Cd00 gallons Exact length of each trench aLl~ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. \a. inches
Maximum Trench Depth of: 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: a inches above pipe
Conditions: 121 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 ystem type P ciled is different from the type speciled on the application. / accept the speciflcationr 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 trzomphaafje with tlZt<ovisiibq of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: '8
15
Co uction Authorization Expiration Date: $ 1-1
HTE# 1Q -5- Permit # _ C, 2 L,5
Harnett County Department of Public Health
S i to IS, ketch
PROPERTY LOCATON: M A2
ISSUED TO: C Q No m~ SUBDIVISION LOT # c~.5
Authorized State Agent: 9, 0--7vE2~o1 Date: 1~7
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Department of Environment, Health and Natural Resources
Division of Environmentai Health
On-Site Wastewater Section
Minn mCumioN
for ON-SITE WASTzWATZSSYSTE%
Owner: Applicant:
Address Date Evahtated:
Proposed Facilitr-5 Y)6oena,,y DesigpFtow (.1949Y -3c °q~
Location of Sitar Frope><!~r Recorded:
water Snpp[j Publ~e ❑ bldividual ❑ well
Evaluation Method: Auger Hering ❑ Pit ❑
Type of wastewater ewage ❑ bulushial Protest
Sheet:
Property ID:
Lot M:
File 11:
Code:
Prvp"I Size:
❑ Spring ❑ Other
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Evehmted By.
Others Present:
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