IPACHTE# 11(-)'~ Harnett County Department of Public Health
Improvement Permit 2 6 4 8 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M At21c S
ISSUED TO: MtatL-Y-6~t ~~t~c c F~V 1L CJ GI, SUBDIVISION N5ta o29 LOT # 33
NEW; REPAIR ❑ -EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 wD t
Proposed Wastewater System Type: Go NV y.--T , Q„ t 0-, L_
Projected Daily Flow: L-4 %Q GPD
Number of bedrooms: LA Number of Occupants: ~ max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 )I1_L~ 11l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of of permits. The permit holder is respo Bible 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: ~2~r G~ Qt_4.c.G ~)u ,i oS~st -S PROPERTY LOCATION: M Kq2~ 5 QZ
SUBDIVISION N S Ham' 0 2Q LOT # 33
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 39, No Basement Fixtures? ❑ Yes No
Type of Wastewater System" cc)"v~N~ ~ a sus t~,l_ (Initial) Wastewater Flow: H~ 6 GPD
(See note below, if applicable
C-0r-4V ~sv~ `y rt s~1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ~ ® ® 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench 6`1 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: C inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: }SCC'~-~Y5 ~A ®r' P~c~PdSAt.
)XJ rh r ps _Nc,>,r 4.ys
inches below pipe
a inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specipcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to ion 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 sub'e`t to compliangwith tj~e s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 y-~ li
Con ruction Authorization Expiration Date:?
HTE# 11
Permit # a~y8~
Harnett County Department of I-Niblic Health
Site Sketch
PROPERTY LO(ATON: NIP2~Q5 Q-"-)
ISSUED TO: v,L.0SUBDIVISION s~D LOT # 3-~>
Authorized State Agent: 0~~~5 ~o~ ~y62'~ozX50~S Date:
~ 3~
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM: Code:
Owner. Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location' a( Site. Property lteeorded:
Wallet Snpp[jr Public Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit
Type of Wastewater. Sewage ❑ Industrial Process Mixed.
P
R
0
F SOIL NORPHOEMY OTHER
1 t940 19 1 PROJIM FACTORS
L Landaap Honzoo .1941
9 Position; Depth
% 1941 J941 3011 143 .19J6
N Slops (In) StrvChow Cmditeam Wetend Sail 1941 ciao
Mrcwrala SAPM im Rsatr Cfaa1
Tardun Color
C Clan Hail. - A LTAR
Site ClasaiBcation (,1948k 5
Evaluated B): c,,-<
Others Present: