IPACHTE#_~o-s-a ~o6a Harnett County Department of Public Health
Improvement Permit 2 6 2 5 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A~P1~rG ~2
ISSUED TO: titer 1V tv C (w tnc~ SUBDIVISION ~v m nn x
NEW REPAIR 11 EXPANSION 13 LOT #
Type of Structure: GIF Q vO 'DSO' Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: \ 0 r, pc
Projected Daily Flow: $Q GPD
Number of bedrooms: Number of Occupants:
Basement ❑Yes ~No max
Pump Required: ❑Yes 't~f,qo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1b o
Permit conditions: feet Permit valid for. Five yeah
❑ No expiration
Authorized State Agent:: ~
The issuance of this permit by the Nealth Department in no way guarantees the issua
site is subject to revocation if the site plan, plat, or the intended use changes. The impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
- SEE ATTACHED SITE SKETCH
I. The permit holde is responsible for checking with appropriate governing bodies in meeting their requirements. This
shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 TO: t1SN,vE-\\N Cv mm '-A G5 PROPERTY LOCATION: NE Otz
c, LOT #
Facility Tape: SVSJ ~dSUf X. New ❑ Expansion SUBDIVISION ansion - El Repair a
Basement. ❑ Yes -2'~,,No Basement Fixtures? 11 Yes \ No
Type of Wastewater System** `--o N V E N"(\ C5 N tatr (Initial) Wastewater flow: ~d Opp
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size I e o G gallons
Pump Tank Size gallons
Number of trenches
Exact length of each trench ` feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. S-"~-2J inches
(Trench bottoms shall be level to +1_114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: . Feet on Center
Soil Cover: C_ N% inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2, inches above pipe
11-3- _ 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 system type specified is different from the type specified on the app/ication. / accept the specircations of thi permit
Owner/Legal Representative Signature:
this Construction Authorization is subject to on if the site plan, plat, or the intended use changes. The Construction Authontatlon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subect to compliance the s o aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
C-d NJS"n \dri AL
Authorized State Agent: e6NS
Date: 42"1 l
Constru ' uthorization Expiration Date: 'J,i 15
HTE# 10-S-asoca
Permit # a 6
arnett County .Department of Public Health
Site Sketch
PROPERTY LOCATON: NLe1 NE D2
ISSUED T0: C,v MM 6 SUBDIVISION Sv rnc~
LOT # 12~
Authorized State Agent: -S0Lxso0Qy- Date: 1 -7
IIr, ,
OLW
"'r~MQy~LL\NG
( Division of Environmental Health
''n-site Wastewater Section
F
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Property ID:
Lot #
File #
Code:
Applicant:
Proposed Facility: ucc,:,q., M.~ Design Flow (.1949): jNj,0
Location of Site:'
Water Supply: )I-Public Individual ( ) Well
Evaluation Method: A \uger goring [ 1 Pit
Type of Wastewater: A'r"ewage Industrial Process
Available
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Date Evaluated:
Property Size:
Property Recorded:
Spring
[ ) cut
[ J Mixed
[ ) Other
y ~7 Y7 1'