IPACHTE#_J 0 Harnett County Department of Public Health
Improvement Permit 26305
A building permit cannot be issued with only an Improvement Permit
/ p PROPERTY LOCATI N: L- c- 10
ISSUED~TO/ ~hc~t~1 Tr^op~r 4• eJ SUBDIVISION C-A ~a, •`j(/' LOT #
NEW L REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: o~ S~~a c rep a c ✓/~e.~
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Lam{ No /
Pump Required: ❑Yes ❑ No E,'MaaAe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for Ef Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 20l d SEE ATTACHED SITE SKETCH
The issuance of this permit b e Health Department in no way guarantees the issuance of other permits. The permit holder is resp 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 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 p
ISSUED TO: T/tG car 1roDe-l~~~v PROPERTY LOCATION: cZ
SUBDIVISION r><cf LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? 03 Yes No Basement Fixtures? F-1 Yes F-1 No
Type of Wastewater System** , (Initial) Wastewater Flow: GPD
(See note below, if applicable
L<4~~.. (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size --Zoo 0 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. d inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: ILA t, ' e, c~•~ C--;,-L vV;r 4-
Q
!:IA- t f" d t rf F d c~
Trench Spacing: y Feet on Center
Soil Cover. & inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggre ate Depth: 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 system type specified /s different from the type specified on the app/ication. 1 accept the specifications of thi permit
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use
fnncrrA•cl...
Date:
The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
mnpnmime wren me provisions of me taws and Wes tot lewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: c•.~ ~j Date: Z
Construction Authorization Expiration Date: 4z ZL bv`-f` -
HTE# /0 dj-y,7 Permit # 3 0f-
Harnett County -Department of I iblic Health
Site Sketch
ISSUED TO:
Authorized S
Ac _0 .
° /ll LOT #
X1 4- i d
a9b
/ r; c.- 48 Jr,- ko.n 4.
Dement of Environment, Health and Natural Resources Shed:
Division of EiMronnmtal Health
0: ry► ID:
On-Site Wastewater Section Lot M:
Lot
SOEJSM EVALUATION File
for OH-,gi Code:
11: WA9
I JEWATE& SYSTE4
Owner. Applicant:
Addresc
Dale Evaluated:
?MPmW FadlltT
Desigm Maw (.1949};
Propcztp Size:
Location Site:
ft"--,-p- Recorded:
water 3npplt;
❑
Pubt ❑ Individt>al ❑
Wen ❑ spring
Evalualim MsfIC&
❑
Auger Boring ❑ pit
. Cut
Type of wastewater:
❑ sewage ❑ Indnstriai Ptoccw
Mb"
P
R
O
F
SOM MORFHOLOOY
1
t 1940
L anx~po Horison
.1441
(
1Et
PROMA FACT(
9 Pasitlael DV&
N Slops X (ln)
.1941 .1941
Sh
h
w
.1941
Sod l !
uc
o
CorWdaM
Texts Mtanlo
Wet" Sod
Color
't
'
f 0,- 1. 1O
`1' 33 > tt' ~c 1 1 J)
site Cla"cadon (.194 J
E
~ vetuetad By:
others Ptemt
❑ Other
1976
.1944 Pl%
ft* 0M
Gnu
/'r