IPACHTE# / G ' aJ- cr Harnett County Department of Public Health
Improvement Permit 26312
A building permit cannot be issued with only an Improve nt Permit
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PROPERTY LOCATIO,* ca r
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ISSUED
O- 1,- S
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SUBDIVISION
r, c4 LOT # /oZ?
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A
❑
NEW L
RE R
EXPANSION ❑ Site Improvements required prior to Construction Authori
zation Issuance:
Type of Structure:
F
c /S " 30
Proposed Wastewater
System Type:
9
BLS" ~ c vl
Projected Daily Flow:
GPD
Number of bedrooms:
o
Number of Occupants: max
Basement ❑Yes
CNo
Pump Required: ❑Yes ❑1o
❑ May e required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
I~ Public ❑ Well Distance from well feet Permit valid for.
2'-Frve years
Permit conditions:
❑ No expiration
Authorized State Agent:: c., ICC-Iff Date: / ~~f ti SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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: a~ ~ c'%*e PROPERTY LOCATION: c,~,-kr
SUBDIVISION r Eg„(/ LOT #
Facility Type: E2"New ❑ Expansion ❑ Repair
Basement? ❑ Yes 12" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** t Z S Y 'tCW c4 g s 4 Jr. (Initial) Wastewater Flow: J 6 GPD
(See note below, if applicable
e (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /04 0 gallons Exact length of each trench 71c" feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /8 - kY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
JJ'C!,:tA ~pn.~I cam ~c»tioc~^~/rtCr,
r m v
Trench Spacing: Feet on Center
Soil Cover: 6 ° l inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
- J~- M (,,I
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 system type specifed is different from the type specified on the application. /accept the speciFcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, slat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the dtP_ Thit
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 Agent: /T Date: IV2- /f ~7
Construction Authorization Expiration Date: /,"-/o /J-
HTE# /C) - Y- a2S° S° Permit # a~% 3/
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: A"j- t,f xe.
ISSUED T0: SUBDIVISION Ar -FC- ,-J LOT # -7
Authorized State Agent: Date: J/- Zq 0
r
1~
Department of Environment, Health and Natural Resources Sheet•
Division of Environmental Health Property )D:
On-Site Wastewater Section Lot e
Cam:
SOMME EVALUATION File
for ON-SITE WASTEWATE& SYSTEM:
Owner: Applicant:
Address: Date Evaluatet 17- /(T (z`,r C)
Proposed Facility: Design Flow (.1949): Property Size:
Property Recorded:
Locadon of Site: 9`F
Watdrt Supply; liC [I Individual [I Well El Spring ❑ Other
Evaluation Method: pselwap get Boring ❑ Pit Cut
Type of Wastewater. ❑ Industrial Process Mixed
P
R
O
F
1
1940
OIL MORPHOLOOY
1941
THER
PROFILE FACTOR,
L
E
Lardscap•
Poaidow
Slops %
Horiz=
Depth
(la)
.1941
Stuchow
Tensor
.1941
Conuletem
Minenlo
.1941
Soil .1943 .1956
We""d Soil Saprv
Color
ftjIN. Civet
.1941 ftille
Re* Clan
Haas. atLTAR
DesQiPdo4
Available 9 ®a .19a1
Sift LTAR
taitia)
9 14M
~ 6
Report SY~ Otha Factors (.1946)
Site Claasi8cation (.1948)
if p Evahatal By:
Othas Present: