IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 41 7
A building permit cannot be issued with only an Improvement Perm'
_ PROPERTY LOCATIO C-444 LZ
74- ~ZVZo",o~5 ISSUED TO SUBDIVISIONv'~°~' /'mar LOT # Z-
NEW REPAIR ❑~6
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: X
Proposed Wastewater System Ty e:
Projected Daily Flow: GPD
Number of beeddKess. V ~yMae be of Occupants: max
Basement F-1 No
Pump Required: ❑Yes F-1 No re9uire d based on final location and elevations of facilities
Type of Water Supply: El Community ic ❑ Well Distance from well feet Permit valid for. /rive years
Permit conditions: 6 4-& 6-- ❑ No expiration
Authorized State Ag Date: - 7 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 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.
r _
ISSUED T0: lid 1.✓r~~~° PROPERTY LOCATION:
SUBDIVISION z5y~ LO_
Facility Type: -J_ ~~ew ❑ Expansion ❑ Repair
Basement? I~ Yes F-1 No Basement Fixtures? L~J Yes ❑ No
Type of Wastewater System** Z,45-~' , ?-4~6 5"`-- (Initial) Wastewater Flow: GPD
(See note below, if applicable
710 053% ((e 71 r;
Installation Requirements/Conditions Number of trenches
Septic Tank Size 6 Q gallons Exact length of each trench 7- 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a / 1A Maximum Trench Depth of nccVs
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: 7 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: -'57-V 13 gy'p`; 24
n °7,, r.
inches below pipe
inches above pipe
jZ- 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: I understand the system type speriTed is different from the type speci>ied on the app/Station. /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 Agen Date: Z ---25 it
Construction Authorization Expiration Date: Z Z5-- 1 to
HTE# f/-S 2YO /e G- Permit # Z16 `117
Harnett County Department of Public Health
Site Sketch
I°A-X-
~ s
D.T;Mt+
V.C51C-T:
0
493 1 •
_SIZ I qI Z a t4:5 f 0- lzb
Department of EwArunment, Health and Natuiat Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property Lot Property ID:
SOMSTTE EVALUATION File
for ON-SITE WASTEWATZRSYSTEM Code:
Owner. Applicant:
Address: Date Evaluated: Z_,-3 Proposed Facility; 50 Design Flaw (.1949): yp FrOp" Size:
Locadon of Site: Froperty Recorded:
Wate t Supply; Vger ie ❑ Mdividual ❑ Well ❑ Spring ❑ Other
Evaluatlon Method: Boring pit Cut
Type of Wastewater: age ❑ Wustrial Process Hdixed.
P
i;
0
.'Wo"HOLOGY OTHER
1 .1940 .1941 PROFILE FAL►fOR3
L Landacap~ Horizon .1941 °
F F
B Poaidad Daptb .1941 Soil 1943 .19J6
4 slope 9i (In j ! Confides Wetu
d Soil Sepro
Min"la Color [N. Clan
l 3G i-
&-C, MW L 7°lv le)-17
&I..
L 5L .
Z.fyz
h..5. 32
Site %,I Cation (.1948k
U Evaluated By
Others FR=t:
.1944 Fio11!®
Re* Clan
Horis. aY LTAR
L 3Sr
Ez<-
I&