IPACHTE# l1-s- X7 Ltd Harnett County Department of Public Health
Improvement Permit
2 6 7 6 4
A building permit cannot be issued with only an Impr vement Pleit
~
/
PROPERTY LOCATION:
< e^n~s~n
r,
ISSUED T
<
~
rye( ~Z
~
I
~
/
-
Q
y
c5..
c
't SUBDIVISION
na _r.•~
a
LOT # 6j
NEW P
REPAIR ❑
, EXPANSION ❑ Site Improvements required prior to Construction Autho
rization Issuance:
Type of Structure:
J" F 0 S 8 X14-4
Proposed Wastewater System Type: C
c..1t~ ',-t
Projected Daily Flow:
G
GPD
Number of bedrooms:
3
Number of Occupants: t° max
Basement ❑Yes
Coo
Pump Required: ❑Yes
❑ No
1 Ma be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
7 public ❑ Well Distance from well feet Permit valid for:
15'five years
Permit conditions:
❑ No expiration
Authorized State Agent:: G /CCJ Date: / a /fir/o2cf/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health epartment 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 T0: Its nc~ PROPERTY LOCATION:
~ SUBDIVISION % - LOT # of
Facility Type: 1'r 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes Ca' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C o.ti ye = c 11-Q (Initial) Wastewater flow: -3 if GPD
(See note below, if applicable
vZ~y ✓~~Q~~>!' C-tl-, (Repair)
Installation Requirements/Conditions Number of trenches o2
Septic Tank Size / o dc) gallons Exact length of each trench -7,r feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G 4y inches
Maximum Trench Depth of: / 8 - 3 to 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
n Aggregate Depth: ZZ inches above pipe
Conditions: tee ~e~~A / :;2_ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 pecified is different from the type specified on the app/ication. /accept the rpecipcationa 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 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 Agent:
Date:
Zx- I
Construction Authorization Expiration Date: f~"o~b
HTE# &-J-- Z7? j 2-
Permit # o,'- 7 L q
Harnett County Department of Public Health
Site Sketch
l PROPERTY LOCATON: ,S /LI e-i - ~i^
ISSUED T0: ~v~• ~c+k~ 6 c~%,c, SUBDIVISION LOT # C~
Authorized State Agent: Date: d lw,~ c
oaf'.
C.
U c,- %
Department of Environment; Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /
Address: Date Evaluated: / o/( (2 0/1
Proposed Facility: Design Flow (.1949):
Location of Site: / Property Recorded:
Water Supply: C 1 Public❑ Individual El Well
Evaluation Method: Auger B 'ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Other
❑ Mixed
IP