IPACHTE# Harnett County Department of Public Health
Improvement Permit 26719
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L_ a_l o S ; ra2X Vz
ISSUED TO: ' l O mtr Ma~,~r~ z ~ct tvS SUBDIVISION NC, 9-opE-a;, - LOT # _:a`
NEW'( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 'i= fl
Proposed Wastewater System Type: Q oN .t E tit; C7 N t?.L
Projected Daily Flow: d GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ 0V feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: X01 a ~ r 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other its. The permit holder i respon ible 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, .1957, .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: D- ('/N 1AomL `",Sa>-T-N ,a N~-C
Facility Type: '5 l'U
PROPERTY LOCATION: I-t-byc~ S E~.to ~-D
SUBDIVISION PAC- Q.gaGi-Ly~S LOT
,K, New ❑ Expansion ❑ Repair
Basement? ❑ Yes '4~< No Basement Fixtures? ❑ Yes IK' No
Type of Wastewater System" C--0 ry -,r 'Z- v ; N v r4 NL- (Initial) Wastewater Flow: GPD
(See note below, if applicable
C-o tivr G"J )C)N p,L (Repair)
Installation Requirements/Conditions Number of trenches sA
Septic Tank Size L Z gallons Exact length of each trench LO ® feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 9 u inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: } inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(.1 inches below pipe
Aggregate Depth: inches above pipe
_ 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: /under understand the system type speciped if different from the type speciped on the app/ication. I accept the rpecilcatianr of this permit.
Owner/Legal Represen nature: Date:
This Construction Authorization is subject to revoc ' . 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 o compliance . oft ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Q-L Date: WI x.,
Construc Authorization Expiration Date: VC )-b
HTE# ~ ~ (5S
Permit # DQ 1°)
Harnett County Department of Public Health
Site Sketch
ISSUED TO: _U",
Authorized State Agent:
~q Nt-.3Cc
N Qrl
iO
PROPERTY LOCATON: L_L.o,%to S-s'GIL
Cci^►~ SUBDIVISION 1\G F-0 awr~ s LOT # i
Date:
Lr LO-) Q E-cv A25 RD
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:
Proposed Facility: Design Flow (.1949): X10
Location of Site: Property Recorded:
Water Supply: _'E Public❑ Individual ❑ Well
Evaluation MethoAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: -:q Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Other
❑ Mixed
P