IPACHTE# 10- 5-2l,~C Harnett County Department of Public Health
Improvement Permit 2 6 2 7 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T-~ Q
ISSUED TO: H V eta cJy LES u~LpG-(L,,5 SUBDIVISION VA ov-rvsr1~ ao,rE LOT #
NEW'j REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S7- O( L- 'G 4 g' }
Proposed Wastewater System Type: ~;LS°/o
Projected Daily Flow: U;6 GPD
Number of bedrooms:
Basement ❑Yes-NYo
Pump Required: Oyes '~<No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: ro max
❑ May be required based on final location and elevations of facilities
X Public ❑ Well Distance from well 10 O feet
Permit valid for. Five years
❑ No expiration
Authorized State Agent: Date: t0 y SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holders 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 rmit 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, j956' .1957, .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: k v S u a~ES 2~ ON L-0f-Q, PROPERTY LOCATION: t--A-5p,T62
SUBDIVISION P\L_N vz GnOy E LOT #
Facility Type: 5VO (4s New ❑ Expansion ❑ Repair -
Basement? ❑ Yes '~K No Basement -Fixtures? '?~Yes No
Type of Wastewater System** 25 jo ~.GovCA, 0 0 Sy 0 (Initial) Wastewater Flow: GPD
(See note below, if applicable
~EOuG:LCtN '3-~r.~ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1(bc c) gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. N4k-2i.4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: °I feet on Center
Soil Cover ~ ~nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES INCLUDING IRRIGATION) MUST BE LOFT. 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 rpecided it different from the type ,rpeciTed on the application. / accept the sveci6cations of this permit.
Owner/Legal Representative Signa
This Construction Authorization is subject to revocation if a lat, or the intended use changes. The Construction Authorization shall not be transfer
Construction Authorization is w to compliance th ons ws and Rules for Sewage Treatment and Disposal and to the conditions of this
Date:
when there is a change in ownership of the site. This
mit SEE ATTACHED SITE SKETCH
Authorized State Agent: P 61'+5 Date: _
Const ion Authorization Expiration Date:
HTE# 1b-5-,as&30 Permit # ag~ $
Harnett County Department of Public Health
Site ite Sketch
PROPERTY LOCATON: L-k5A7E2 (ZD
ISSUED T0: v 6 » SSUBDIVISION W Rti-N~ ~tov LOT # 13_
Authorized State Agent: 46Q- 'ToLl~SOoSjS Date:
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Department of EwAronnient, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot a:
File *
SOLL/SM RVALUATION Code:
ror 0144,911TZ WASTEWATZR SYSTii'.M
Owner. Applicant:
Addresrc Date Evaluated:lci~ )
Proposed Facility: Desjgt Aft (.1949): 3co Property Size:
Location of 51tr. Properly Recorded
water Supplf Public ❑ Individual ❑ Well D Spring ❑ Other
Evaluation Method: _ Auger Boring D Pit Q Cut
Type or waste: t sewage ❑ Industrial Process Nxed
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Site CIaSWIcatlon (.1948) pj
Enhated By:
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