IPACHTE# /lt'- 262-3-7 Harnett County Department of Public Health
Improvement Permit 26425
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1,00 es'-10
ISSUED TO•! SUBDIVISION LOT #
NEW [Ell REPAIR ❑ xPANSION ❑ Site Imp ovements required prior to Construction Authorization Issuance:
Type of Structure: SFb
Proposed Wastewater System Type: Z50/z, W C-1) b (,Q~~
Projected Daily Flow: GPD
Number of bedrooms:- Number of Occupants: ~s max
Basement ❑Yes Lei No ZMav Pump Re quired: ❑Yes ❑ No e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet Permit valid for: 2/Five years
Permit conditions: ❑ No expiration
Authorized State A en:: - - Date: 5-1110-1 f SEE ATTACHED SITE SKETCH
The issuance of this permit a 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 revocatio 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.
ISSUED T0: a~ PROPERTY LOCATION: 6 0//2 5 V
SUBDIVISION LOT #
Facility Type: New E Expansion El R air
Basement? El Yes No Basement Fixtures? ❑ Yes 21o
Type of Wastewater System** :7 IA'f- (Initial) Wastewater Flow: D GPD
(See note below, if applicable
s'~Ib t 5 (Repair)
Installation Requirements/Conditions Number of trench s
Septic Tank Size gallons Exact length of each trench 90 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 71 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: Z- inches above pipe
/L. inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l 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 Ag Ag" Date: 1T ! fO •-t f
Construction Authorization Expiration Date: 3 - 1 to - 11,
HTE# - 6 Z.5-
Permit # . y..? s-
arnett County Department of Public Health
Site Sketch
~ry PROPERTY LOCATON: ~ /~C~6 61d 5 ~~tr
ISSUED T0: SUBDIVISION LOT # _
Authorized State Age 2 a Date: /to ` >
pq
/ G tip 5
Department of EwAMMnent, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOMSITE EVALUATION File il:
Code:
!br OK-SITE WASTEWATERSYSTEM
Owner Applicant:
Address-
Data Evaluated: 3-214-)'
Proposed Facility:
Desigp Flow (.1949): -R/s~
Froperty Size:
Locado>E of Sits:
Property Recorded:
Water Supply;
❑ Individual ❑
Mt
Weil ❑ Song
Evaluation
Type of Wastewater:
Boring ❑ Pit
ger
❑ I
d
Cut.
M
ewage
n
ustrial Process
ixed.
P
R
O
F
SOQ, MORPHOLOGY
OTHER
l .1940
L L
b
.1941
PROFIt.@ FAR7iORS
a m
a" Horizon
E Position/ Depot
.1941 .1941
.1942
Soil 1§43
N Slope % (k)
Sbucmrd Corwdew
wetn"d Soil
Toxdrn MlnMlo
Color IN,
LYE b->S
c
❑ Other
.1936 .190 Home
Sapre Re* Clue
Ctase Hod:. R LIAR
IV
L-L
"Paw 3yum Uttla Factors (.1946) -
Site Cdassiflcadon (.1948)
7 Evaluated By:G,
e Others Prexnt: