IPACHTE# /G J, o5- / 2 C Harnett County Department of Public Health
Improvement Permit
2 6 3 0 2
A building permit cannot be issued with only an Improvement Pe it
PROPERTY LOCATION:
ISSUED TO _ ot b:.~
S~F~ ,1 tenet
SUBDIVISION ka..~ c, ,Kr
LOT # 3
NEW F' REPAIR ❑
F
EXPANSION ❑
'
Site Improvements required prior
to Construction Authorization Issuance:
Type of Structure: S
b
S
Proposed Wastewater System T pe:
P
~ 6
rojected Daily Flow: -
GPD
Number of bedrooms:-3-
B
0 "
❑Y
Number of Occupants:
6 max
asement
es
No
'
Pump Required: ❑Yes ❑ No
9
M a be required based on final location and elevations of facilities
Type of Water Supply: 11 Community
Public ❑ Well
Distance from well feet
Permit valid for. 216ve years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: / i /z0/ 4 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health Department in no way guarantees the issuance of other permits. The permit holder 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 installed in accordance
with the attached system layout.
ISSUED T0: .A,jc,~ Z-Ze S PROPERTY LOCATION: led
"I" SUBDIVISION Reel rrti LOT # 29
Facility Type: 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? Yes ❑ No
Type of Wastewater System" 7" Xe4~ 1 or, (Initial) Wastewater Flow: ~C 0 GPD
(See note below, if applicable
1. ~ lee ~ 14 r (Repair)
Installation Requirements/Conditions Number of trenc es -7
Septic Tank Size 00 0 gallons Exact length of each trench fo0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. o2 Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: V Feet on Center
Soil Cover: l-Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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 rpecifled /.r different from the type rpeciTed on the app/ication. /accept the rpeci6cationr 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 chanae in ownershin of the cite Thk
lonstrucuon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Dater XIC/0
- 1,22
l
Construction Authorization Expiration Date: /
HTE# X5--/7 Permit # vZ r-, 3 c:2,
11tarllett Comity Department of 11,11blic Health
Site S~ketcll
p PROPERTY LOCATON:
ISSUED T0: J y lac F ~t fc SUBDIVISION LOT #
Authorized State Agent: Date:
i
as ~dG~~a~~
/70f
Department of Environment, Health and Natural Resources
Shed:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot a:
SoEus E 1CYALUATION
File M:
Cam;
for ON-SITZ WASTICWATZ1~SYSTEM
Owner. Applicant
Addresv Date Evaluated: /la ~2 o
l
Proposed Fwilitr. Desip Flow (.1949}:
Property Size:
Location of Site: Property Recorded:
Watex Suppijy [TPublk ❑ Individual ❑ Well
❑ Spring ❑ Other
Evaluation Method; P~fger Boring ❑ Pit
Type of Wastewater:
S
Cut
C
ewage ❑ Industrial Process
Mixed
P
R
0
P
SOIL NORPHOL00Y
OTHER
1
L
.1940
.1941
PROFtL$ FACCiORR
L-Wkc p
Hos$m
1942
9
a
PusidoW
Slope %
Dq*
(Tn)
.1941
Studurel
.1941 Sol
Comidem Webmw
143 .1916
9oi1 Sapre
.1944
Re*
Ptot>b
Cho
31,
0-31
Texh"
(N MIO Color
IPI, Cler
Hais.
ALTA!
I F if
nopQ ayneq Mar Factors (.1946)
dn~ Site ClassMatim ( 1948
v Others PsenEvalated B)r