IPACH T E # /0-f- /9s" Harnett County Department of Public Health
Improvement Permit 2 6 3 0 4
A .building permit cannot be issued with only an improvement Permit
PROPERTY LOCATION:
ISSUED TO- V'~ c + ./4 46`.~ W./he-/` SUBDIVISION jie:~
NEW R PAIR ❑ EXPANSION El LOT
Site improvements required prior to Construction Authorization Issuance:
Type of Structure: r -F 0 ic, X e'
Proposed Wastewater System Type: ,ZQ /_,J-,,_~. o;l ~
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Iii o
Pump Required: ❑Yes ❑ No 0►'Ld Maaoe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions: Permit valid for live years
❑ No expiration
Authorized State Agent:: _
Date: 2a/v SEE ATTACHED SITE SKETCH
The issuance of this permit by th the Health Depar tment in no way guarantees the issuance of other permits, the permit holder is responsible for checking with appropriate governing bodies m meeting their requirements. This
site is subject to revocation if e 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 subjeR to compliance with th e pro" sions 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, .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 , 1 r~n,~tf PROPERTY LOCATION: W R~.
SUBDIVISION K~~ ) << , - ,Kl LOT #
Facility Type: _ EicQ - New ❑ Expansion El Repair
Basement? El Yes No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** 9~ &J „,4 ~_r ~
(See note below, if applicable (Initial) Wastewater Flow: GPD
cls-Zcsy~a J/(Repair)
Installation Requirements/Conditions Number of trenches ,3
Septic Tank Size / COO gallons Exact length of each -trench(. 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. e2 -7c' inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: V Feet on Center
Soil Cover /i- /8 inches
(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.
**It applicable: /understand the system type rpeciped it different from the type soeci(ed on the app/ication. /accept the rpecilcationr of thi permit
Owner/Legal Representative Signature:
This Consvuction Authorizat on is subject to revocat on if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change m ownership of the site. This
Construction 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 Agen r L f ~f~ Date: F~ k e"
Construction Authorization Expiration Date: Z c~ IBS2 0 /s'`
HTE#
U ° 0z5"S- Permit #
Harnett County I)epartljell t of Public Ile(tltll
ite Sketch
I
G
PROPERTY LOCATON:
SSUED T0:
! .t
c r<<s~~ ff•~.~<J
SUBDIVISION
r
LOT # ;VQ
Authorized State Agent:
Date: k
I 1~ nv
4
iv
(~I
i
y--
C l-A*L0 cC,"-4
Department of Emimnn'=f, Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot M:
Souis T>Z 19YALUATION File :
for 014-9IT>l: WAST1swnici 9Y9TEM Code:
Owner. Applicant
Address Date Lvah>atod:
Proposed Facilitp: DCdP MOW (.1949r Property size -
Water of Sitar Frope * i?teoorded
Water Supp4r, iI-AIger 'J nibik ❑ Individual ❑ Well
Evaluation Method: Boring ❑ Pit cut [I spring El Other
Type of Wastewater: Sewage ❑ Industrial Process Mixed
it
0
F
1
.1940
SOIL MORPHOLOGY
OTHER
L
spa
Hari:um
.1911
PROFILE
FAtTiORs
M
91o~pi
~
1941
1941
Coedda
.1941
soil Ikl 1976
.1941 Ptofia
"
Tam mfimalo
Webww soil SWO
Color IIV
Re* ChM
L
G- Jl P
, Clan
Hods. ALTA>x
P - f
umdr Factors (.1946k
Site ClL"Matiat (.1948~,,,r
rS~ Evalualad Br/,-
Others Premt