IPACHTE#_ Jo -s-- Arl 7 Harnett County Department of Public Health
Improvement Permit 26301
A building permit cannot be issued with only an Improvement Permit
ISSUED TO PROPERTY LOCATION:: -c
/ `y z y~ ; '3 ie n ' `c SUBDIVISION f~~ erg (d a . ! LOT # 3
NEW DiEPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~5- F ~c 3,3 `
Proposed Wastewater System Type: cZ S`2• ~~Led~.-4; a~ S c
Projected Daily Flow: G GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 1410
Pump Required: ❑Yes ❑ No Ell be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for. R~five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 4 Date: /0 v2 ;2-0J a SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health Department in no way guarantees the issuance of other permits. The permit holder is responsible or 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, J952, .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: s/ !~o E~ ~ f PROPERTY LOCATION: lei
J SUBDIVISION J& LOT # -3 _
Facility Type: E New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow:.. f. Q GPD
(See note below, if applicable
"ki- yo
~d 1, = vOA ff (Repair)
Installation Requirements/Conditions
Number of trenches ?
Septic Tank Size 000 gallons
Exact length of each trench (.0
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: R
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
feet Trench Spacing: 9 Feet on Center
Soil Cover. f.Z inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: /Vt 11 k; „ C, f / .rc f --1'(- 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: l understand the r,vs
tem type fpeciFed if different from the type rpeci6ed on the application. /accept the rpeci6catianr 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 Construrtinn Authnnn6nn X611 nnr 6 rno f-A ,,.6e„ A.- ,...u..._.:- -1-
Co - nstruction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: I L ~ Date: a2 / o
Construction Authorization Expiration Date: t aZ o y
HTE# / aS-/%7 Permit # 2 L 3011
ncarnett county I)epartnle it of nimic neaw,
Site sketch
j/ PROPERTY LOCATON: Uj J
ISSUED TO: rV ~ `.z s~~ 1$c~~1 SUBDIVISION
r LOT #
Authorized State Age Date: a
l~Q
14
f Ts`
f ~i
Department of Emimnmenk Health and Natural Rem ma Sheet:
Division of Euviroamenta,{ Health Property ID:
On-Site Wastewater section Lot M:
SOE LISM &VALUATION File #
:
for ON-81TZ WAS'TIgWATZit SySTM Codes
Owner. Applies
l~ c
Address Data Evaluated: 16
Propm FacilItp: Desig>t MOW (.1949}: Property Size:
Locadott o[ Site: prop" Retarded
Water sup* U IBC ❑ Individual ❑ Well ❑ spring
Evaluadon Mt dut- Auger Boring ❑ Pit Cut
Type of aswater: Sewage ❑ Industrial Process Mixed
R
0
F SOIL NO1 MLOaY
1 .1940 .1941
L Lardem" Haizoa
B PoaidoW DqA .1941 .1941
M slope K (In) sbuatmw Caaat""
Terre ytnNab
~(ls~L r "
OTM
PROMA FrUC
.1941
son 1
we%" sd~
❑ Other
.1936
.1941
no&
sq"
Raatr
cfw
Clan
Ho&
ALTAR
site Clessiflcadon (.1948x
Evahzied
r Others Present