IPACHTE# Harnett County Department of Public Health
Improvement Permit 26801
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: n/7B/ f~2iu~S~
ISSUED T0: 6 L"L'Clf DIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSIO 2f Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /LX C ifZ4-ZC41
Proposed Wastewater System Type: 15-9'ai)ri Lam
Projected Daily Flow: 5W - GPD
Number of bedrooms: Number of Occupants: J8& max
Basement ❑YesZ No
Pump Required: ❑Yes ❑ No Z MI be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: CT"Five years
❑ No expiration
Authorized State Age L rt Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 i 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:Afi" -'Z ► L'( ~l.1Z+-4 dk6,5PROPERTY LOCATION: /7 i rea r
SUBDIVISION LOT #
Facility Type: 1='L Cilkllt + ❑ New PT' Expansion ❑ Repair
Basement? ❑ Yes Z No Basement Fixtures? ❑ Yes Er No
Type of Wastewater System- 2-55% ~~r1~ qtr (Initial) Wastewater Flow: GPD
(See note below, if applicable
1Plnw. 75 ►L~iJ+scS 2 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ZZF00 gallons Exact length of each trench i&& feet Trench Spacing: g Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ~i inches
Maximum Trench Depth of: - Z42 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
Conditions:
Aggregate Depth:
`Z.- inches above pipe
!Z 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 is different from the type specified on the app/ication. / 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 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 A t: Date: ft - /00 - I1
Construction Authorization Expiration Date: e 1 -tE4 - 16
HTE# /I- S-- Z-76q'57 Permit # 24-W I
Harnett County Department of Public Health
Site Sketch
x,,IROPERTY LOCATON: f-PLI-7 %,I
ISSUED T0: a.- rJ C~trwu.f~rLtSUBDIVISION LOT #
Authorized State Age Date: Ll_ i R -1 i
~h
i yt, y j
i
i
752 t'7 S 1 i .b
Depatmcnt of EmAtunment HeWth and NatmW Remum
Division of Environmental HeaM
s~tC~Ct:
On•3ite Wastewatar Swdm
CApecly ID:
C
Y
sonisrre EYAGUATIONI
Pilo
N:
,
for ON-SITE WASTEWATER SY9
TT~
co Code
:
~
~..~t~
.
Owner Applicant, 3~b!"' j.Lb-l -zip-11
Addrm a Data Bvatuatcd: 2'2 a ~ Z M-0 P
d F
W
ropose
W
ty: Desigst Flow (,1949r 1,91)
Prgedy Sim:
Locatio~i Site; Pk+o"t mflied:
Watot Supplt [ft 13 Individual [3 Well
Eval W= Melttod:
13 spring ❑ Other
A ger Boring ❑ Pit 13-
Type of Wastewater
Cat
, ewage ❑ bduttial Process U
mbW
e
R
0
F -SOIL MOtiP1;M=Y
t .1940
1941
.
L 1942
N 91 R 91r ~ .1941 .1941 son (1h) 3traamw cmW dam WeMna+
:
7Ti
Texdtra CO
4
ra
t
7-714~r&
0-'3 L
f Z--~i. .S~•t-.
.1941 Froldi
Reutt Ctul'
H AMAN
r
~4- c_
ls.P.
D /
site clud&a(~ 194i) Br.
Othas Rvgmt
M
J