IPAC RHarnett County Department of Public Head
Improvement Permit 26331
A building permit cannot be issued with only an Improvement Permit
D PROPERTY LOCATION: 7tw~
ISSUED T0:
d
m err SUBDIVISION vc! a
LOT # -
NEW 6~i-'
REPAIR ❑
-
s
E ANSIOR ❑ f Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
E
1C 3 0
t-
Proposed Wastewater System Type: i 5
~1'U A 4 '4' ~✓r <r+.
Projected Daily Flow:
J 60
GPD
Number of bedrooms:
~r
Number of Occupants: max
Basement ❑Yes
140
Pump Required: ❑Yes
&?I o
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
O'~Public ❑ Well Distance from well feet Permit valid for:
wive years
Permit conditions:
❑ No expiration
Authorized State Agent:: C (tl Date: err 6 /-Z8 (2otZ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health De artment 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: 1 ^ 1'0,'- _'ef PROPERTY LOCATION: L-rr,2.- ~ /4,t eye /J-
SUBDIVISION n-7 A C"Uf LOT # 7_
Facility Type: STD L!r New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑"'NNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (.,A (Initial) Wastewater Flow: -7C G GPD
(See note below, if applicable
"4- c" X.f k,-,-(Repair)
Installation Re uirements/Conditions Number of trenches 12
Septic Tank Size 000 gallons Exact length of each trench ~ajG feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of., i6--70 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ic; t inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 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 specified is different from the type specired 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 ownership of the site. This
Lonstruction 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 Jtt AI IACHED Slit SKETCH
13 ~
Authorized State Agent: t~' Date: ss< ~-d zorz
Construction Authorization Expiration Date: ,7 1~y C ~l2of~
HTE# ~L Permit # kz~
3
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p
f
G
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Firr-~~-1-
Department of Environment, Health and Nr I Resources Shcx
Division of Environmental Health ID:
On-Site Wastewater Section Lot Property
SOUJSITE EVALUATION File
Cade:
WON I is WASTEWATER SYSTEM;
Owner: Applicant: Q
Address: Date Evaluated.,311
Proposed Facility: Design Flaw (.1949): Pmpeq Size:
Locati.od of Site. Property Recorded:
Watet Suppi 00 ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluadon Attu* Auger Boring ❑ Fit Cut
Type of Wastewater. Q~ Sewage ❑ Industrial Process 0 Mixed
R
O
F
I
L
E
N
.1940
Laws" Horizon
Position/
Dqd .1941
Slope % 00 Struoeuel
Tenure
V1117 CSC
.1941
Comidwe
Miumloa
~1,wx
=SIf;~
OTHER
.1948 FROFU FAC T0113
sail .t$43 .1916
Wetness/ soil Snpre
Color tN. CIA=
site CILWcadon (.1948X ~f
Evaluated B)r
Others Prexnt: i
SOQ. luo"HOLOOY
.1944 I Ft mi
Redd Chew
ref
y/ S