IPAC RHTE# ~ Z66 Harnett County Department of Public Health
Improvement Permit 26413
A building permit cannot be issued with only an Improvement Permit _
PROPERTY LOCATION 6/'/3/ AZ .fell 1--6
ISSUED TQ/d ¢J~csz/d SUBDIVISION _°,/b• r~ff~'r LOT # Z
NEW L~ " REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2-5011
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No /
Pump Required: ❑Yes No ❑ M5Ae required based on final location and elevations of facilities /
Type of Water Supply: ❑ Community 21 Public ❑ Well Distance from well feet Permit valid for: 2 ,Five years
Permit conditions: ❑ No expiration
Authorized State A k - -I- / ' M .497t.7 Date: 2-11-11 SEE ATTACHED SITE SKETCH
The issuance of this permit b he ealth 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 e 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: ~sslrl PROPERTY LOCATION`~z~ C~v~s
SUBDIVISION LOT #
Facility Type: ' l/New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EZ No
Type of Wastewater System" 25% ~C P l (Initial) Wastewater Flow: 3~,c.) GPD
(See note below, if applicable
2 5-4 6
Installation Requirements/Conditions Number o (trenches
Septic Tank Size aft gallons Exact length of each trench /ZO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. Q C4 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
Conditions:
4 inches below pipe
Aggregate Depth: 7- 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 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
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 Date: 7-1-7-11
L~l Construction Authorization Expiration Date: 2-1 -7 i 4o
HTE# Z(- Z 1 , Permit # ®2 6 Li r 3
Harnett County Department of 11ablic Health
Site Sketch
f PROPERTY LOCATON:a 1.34,4r,- - %d7//M~-~ Z-)
ISSUED TO: 7; 05 5- SUBDIVISION /f~s35cf i LOT # _
Authorized State t: d Date: Z-
W
did L"4-
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOILISTTE EVALUATION File €1:
for ON-SITE WASTEWATER SYSTEM Code:
Owner. Applicant:
Address: Date Evaluated
Proposed Facility: Design Flaw (.1949): Ptoperty Size:
Location of Site: Property Recorded:
Watet Supple; ❑ Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ❑ Auger Boring ❑ Pit Cut
Type of Wastewater. ❑ Sewage ❑ Industrial Process Mixed
P
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F
SOIL MORPHOLOGY
OTHER
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Other Factors (.1946k
Availabb Span
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1949
s step
Site Ctassi$cadon (,1948X
9 d4= Typo(s)
Evehwted B)r
Site LTAR
Others Prexnt: