IPACHTE# I -s ~3c3 Harnett County Department of Public Health
Improvement Permit 2 6 2 9 4
A building permit cannot be issued with only an Improvement Permit c~
PROPERTY LOCATION: G tlUG~ C J
ISSUED TO: 7 ~t Co V C11(y SUBDIVISION S U, MlS »2 E-1 ALT LOT #
NEW` REPAIR ❑ EX SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c-5 Q) (~Ac'1c _
Proposed Wastewater System Type: `>`J u~ t d i
Projected Daily Flow: C~ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes A No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well CQ0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: kd 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsibl 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 Pe➢tajt 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: t 1 c N Q t/C5~\O r• PROPERTY LOCATION: M c, ® t~ 6 qt C) ~
SUBDIVISION S U M Mfg t~ a L LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseme=(J~t ures? ❑ Yes No
Type of Wastewater System** 3~~70 ~JtJ (Initial) Wastewater Flow: GPD
(See note below, if applicableV)
'z~-GolC ~t) G-\ tCT~ (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size S Q C- Q gallons Exact length of each trench A-`K feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of. 1`~ C) 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: inches above pipe
Conditions: 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 /s different from the type specified on the app/iwion. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authonzation is subject to revoca~onlf tfte. to plarr, 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 s ct ompliance with th vi nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: I\'-- 4 Z~5
Date:
Construction Authorization Expiration Date: ~ 0
HTE# ! p --5-aS3o3 Permit # 04621`-'4'i
Harnett CronntyT Department of Public Health
Site Sketch
ISSUED TO:
1144
PROPERTY LOCATON: t`1 CDa u 6 ALO ?-D
- SUBDIVISION S v a ,"A `L LOT # a
OLAJef 'tot.> ~ Date: 1b ~.S N0
Authorized State Agent:
C9 Pie- 1-6A c= 0 f ti g 6-
Department of Ewdronment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Secdon Lot
SOILJSUZ SYALUATION Fite N:
for ON-SITZ WA3TjgWA'T>ER SY9TfM Code:
Owner. Applicant:
Address Date Bvahratod:
PrOwsed F atT Deal Ftow .1949 ~6a . \
gI ( Y ~e Property Size:
Locadart of Sit« ProperV Raorded:
w
Evaluation mdhott ater ~c ❑ Wividual ❑ Well ❑ Spring ❑ Other
Auger Boring ❑ Pit cut
Type of W&"afer: Sewage ❑ Industrial Process Numd
R
O
P
L
B
M
1
Som NORMOLOOY
•1940 .1941
Lampe Haizoo
Paddod Depth .1941 .1941
Slope's (la) Strvahtttl Cowieteoa
Textron ME=*"
L5
zl-- ^LS s ~s~~r
S
son
Wetaeie!
1., , ► .
1956 .1944 ft a
' ft* ctttil
9-~- ~ap4 Jrruea Mar Factors 1946)
Site Classtflcadon (.1948) Ps
Evaluated By: o
s Others Preset R m