IPAC RHTE #� 3 iZ Harnett County Department of Public Health 27725
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
y n PROPERTY LOCATION: 1'tzt W Z
ISSUED TO: SUBDIVISION LOT #_
NEW EX REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: A wig 14
Proposed Wastewater System Type: 05'01Z) j!4: CP74
Projected Daily Flow: GPD
Number of bedrooms: — Number of Occupants: (max
Basement ❑Yes /L f No
Pump Required: 6-es ❑ No El Ma *0 required based on final location and elevations of facilities
Type of Water Supply: 11 Community L Public ❑ Well Distance from well feet Permit valid for: Id Five years
Permit conditions: ❑ No expiration
t
Authorized State Agen e f / Date: I
° ' 6 S{ SEE ATTACHED SITE SKETCH
The issuance of this permit by VHealth 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 Permio
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: .2eeli
Facility Type: _
Basement? ❑
Yes
❑ New
❑ No Basement Fixtures? ❑ Yes
PROPERTY LOCATION: L/t'
SUBDIVISION i'r� -��- LOT #'
❑ Expansion ❑ Repair
❑ No
Type of Wastewater System" 'P,3 $-z 215--,:;,9, (Initial) Wastewater Flow: 34-110 GPD
(See note below, if applicable ❑)
Installation Requirements /Conditions Number of trenches
Septic Tank Size /000 gallons
Pump Tank Size JD00 gallons
Pump Requirements: ft. TDH vs.
Conditions:
i -dt
Exact length of each trench `549D '4'0 ° fdet Trench Spacing: Feet on Center
Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
GPM �� inches below pipe
Aggregate Depth: 2 inches above pipe
a -i i 4bi L Z.1;°7 / 7— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIVAREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /under fond the sy tem type specified it different from the type specified on the application, /accept the rpecKcations 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 Ag t: ` Date: Z-15
Construction Authorization Expiration Date:
HTE# 13 -52 G- 19 /Z
Harnett County
Permit # 2 -7 -7a s-
Department of I'l-ablic Health
Site Sketch
6�Ae(w�� -- CIQ
114 PROPERTY LOCATON:
ISSUED TO: C17—
SUBDIVISION LOT # 5--
A
Authorized State Agen � Date: 2-- 19 �
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2014/01/14 08;47;22 4 /5
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xn.ett C{)anty
Permit # -71
Department of niblic Health
Site Sketch
PROPERTY LOCATDN:
1» 50
utu lu: c�ice.r.�,,+.rr5�l. �2�, s 3VDUIVI31ON S clze . LOT
Authorized State Ag Z ` Date: -' — -7_TT_
SC. 44
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2014/01/14 08 :47:22
Pa►ent, I4031th and Natural Resources
nentel Health
Section
SOIL /SITE EVALUATION
414 -SITE WASTEWATER SYSTEM
Applicant:
5 /5
sheet:
Property M
Lot #:
File #:
Code;
"` Date Evaluated:
posed Facility; Design Flaw (.1949
ocation of Site; Property size;
Property Recorded:
Water Supply., ❑ Publio❑ Individual ❑ Weli
Cvaluation IvlcrhodrQ Auger Boring ❑ Pit ❑ Sprung ❑ Other
Type of Wastewater: ❑ Sew e ❑ Cut
—_ � ❑Industrial process C1 Mixed