IPACHTE# Harnett County Department of Public Health
hDrovement Permit 26331
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: ~ wPkQ1w Z4-
ISSUED T0: • u~
cr
SUBDIVISION of :.r
JOT # JL_
NEW 9-'
REPAIR ❑
E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
~5F1) ~
6
Proposed Wastewater System Type:
rv AJ s <t,
Projected Daily Flow:
160
GPD
Number of bedrooms:
.3
Number of Occupants: C
max
Basement ❑Yes
140
Pump Required: ❑Yes
❑'No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
E3'~'Public ❑ Well Distance from well feet Permit valid for:
eve years
Permit conditions:
❑ No expiration
Authorized State Agent:: . Ai? V Date: -711J / Q// SEE ATTACHED SITE SKETCH
The issuance of this permit by the"Health Del artment in no way guarantees the issuance of other permits. The permit holder i 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, .1957, .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. pjy ~r
ISSUED T0: + ~s f~-r~ 7 ®2,~-~ = ef• PROPERTY LOCATION: hull`-RI ~i t t •
~ SUBDIVISION Qr"t"l' LOT # ~
Facility Type: 5-FD ff New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2~N o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** -4 P orn v (Initial) Wastewater flow: -7 C 0 GPD
(See note below, if applicable
oil ~c c~ ~E c~~ = f (Repair)
Installation Re uirements/Conditions Number of trenches 12
Septic Tank Size 000 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.- /&.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: 1 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 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 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 AIIACHED SITE SKETCH
Authorized State Agent: C, Date: =s' 1 fX" _
Construction Authorization Expiration Date: isy
f~
a
f
E ~
Fem.:,
Department of Environment, Health and Natural Resources Shed:
Division of Environmental Health Property 1D:
On-Site Wastewater Section Lot
SOUJSITE EVALUATION File 0:
ror ON-SITE WASTEWAT1i RSYSTEM; Code:
Owner. Applicant:
Adddress Date Evaluated: J Z aC /
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Watet $up* lic ❑ Individual ❑ Well ❑ spring ❑ Other
Evaluation Method: Auger Boring Pit
cut,
Type of Wastewater. [j Sewage ❑ Itdustrial Process Mlxett
F
R
O
F
1 .1940
L L
d
H
SOIL MORPHOL00Y
.1941
an
scape
ail=
E Positiad Depth
N Slope % (to.)
.1941
sbucww
To
e
.1941
COndkena
Min"lc
S
(
/
2-Y-
4 15-C
2
OTHEZ
PROFU FACTORS
.1942
Sail
.1443 .1956
.1944 ?MM*
We ""d
sail Sapre
Restr Claw
Color
QY. clan
Hail. A L
TAK
(
'per stem Other Factors (.19
Site CtaWCatioa (.1948k lof
Evaluated By:
Othas present: G i