IPACHTE# d0 vj-- J- 5-7cq Harnett County Department of Public Health
Improvement Permit 2 6 31 1
A building permit cannot be issued with only an Im rove ~jent Pe nu
j PROPERTY LOCI 74
ISSUED T0:-~ < fc~,~✓ SUBDIVISION ~i LOT #
NEW E~ REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: <S' 0 'IrX S`0 e
Proposed Wastewater System Type: 'd,5 ZQ pI'eC1-t`'~dc;,a -~~J
Projected Daily Flow: u GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes 111'No
Pump Required: []Yes 2 "'No No ❑~Maa e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet Permit valid for: 93-F-ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: ZielU Date: - 13 2q 0 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 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 TO: ZC' 5 9-
41 PROPERTY LOCATION:
/
~ ov d=1 e~ .
0
/ SUBDIVISION llr
~cLOT # /i
Facility Type: J
Z New ❑ Expansion ❑
Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(Initial) Wastewater Flow: C (Z GPD
(See note below, if applicable
Z".
-,eAciJ-= (Repair)
Installation Requirements/Conditions
Number of trenches 04
Septic Tank Size /00 0
gallons
Exact length of each trench 90
feet Trench Spacing: ~ Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: 6 -/2 inches
Maximum Trench Depth of: 18--'`-I
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: I ~U uQ•1 v-' J-' / ' U ~j4
inches total
M cal/ c( r , s` ik.4
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.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications 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 change in ownershin of the cite- This
tonstruchon 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* Date: la) l Construction Authorization Expiration Date: t f/. pl
HTE# 10-5-- I o q Permit # 67,k a i l
Harnett County Department of ablic Health
Site Sketch
91 PROPERTY LOCATON: If X4,
ISSUED TO: Xe- C7 Al d~qf SUBDIVISION LOT # t >2 ~
Authorized State Agent: Date: _
//IT A e
Y
J3 r°'
n
.i
Department of Environment, Health and Nahum Resources
Division of Environmental Health Sheet:
hed: ID:
On-Site Wastewater Section Lot Property
SOUJSITR EVALUATION File
for ON-SITE WASTEWATER SYSTEM; Code:
Owner. Applicant;
Address: Date Evaluated: Id- zv/
Proposed Facility: Design Flow (.1949): Property Size:
Locadon of Site: Property Recorded:
Water SuM[p e 0, ❑ wividual ❑ Well ❑ SprinB El Other
Evaluation Method: L uger Boring ❑ P Hru
Type of Wastewater: ewage ❑ Industrial Process Mixed
a
O
F
1
801L IM"HOLOOY
.1940
L Undimpe
Horizon
.1941
9 Powtiew
Depth
.1941
.1941
Slope %
(IM)
structure/
Conrirtmce
Tam"
Nfin"lo"
irAV 5 ~l f JII14
OTHER
PROFU FACTOR1
.1941
soil ,1049
wetn"d soil
Color on-
site Classification (,1948;
Gi-
> Evaluated By.
Mas Present:
1956
.190 Protllti
Realr Crate
Hain. ALTAR
/
I -T
9f'-f-