IPACHTE# a-,I -Z6ZZ-? Harnett County Department of Public Health
hDrovement Permit 2 6 4 3 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION 9 fl
ISSUED T0:J/~A" ~I fS ~S SUBDIVISION LOT #
NEW 2'~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 CT-1>
Proposed Wastewater System Type: ~T'! E~ Jz~L.GZ 3
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No ~,o
Pump Required: ❑Yes ❑ No 1? Ma0e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Isf Public ❑ Well Distance from well feet Permit valid for: 121--rive years
Permit conditions: ❑ No expiration
Authorized State Agent: ~ - ~ - Date: -5'-24 SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 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 Permio
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: 3! PROPERTY LOCATION: '157 /00
SUBDIVISION LOT #
Expansion ❑ Repair
Facility Type: J t [2 New Z "No
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I" No
Type of Wastewater System** 2,5i Eft) L;L 4-.__ (Initial) Wastewater Flow: 3G cz~ GPD
(See note below, if applicable
'5'0/a ' 5 (Repair)
Installation Requirements/Conditions Number of tre ches I
Septic Tank Size 16>C Z> gallons Exact length of each trench -7 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1~! inches
Maximum Trench Depth of. 2Z" 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:
inches below pipe
Aggregate Depth: Z- inches above pipe
I Z- 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: /understand the system type specified is different from the type .specified on the application. / accept the spedfleationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan. DIaL 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 Age Date: I l
Construction Authorization Expiration Date: Z i _ f
HTE# 21' Z'72 Permit # -Z&13 0
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON: ~ i `T 3 f j t w aC 12,0
ISSUED TO: :5 / I3--I SUBDIVISION ~I &r{cQnn~_ LOT #
Authorized State Age c, Date: 3 ° 2~f-t,
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Department of Environment, Health and Natural Resourcea Sheet:
Division of EwAtO uneutal Health Property
On-Site Wastewater Section Lot e
SOIIJSTTE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner. Applicant:
Address: Date Evaluated 3°tt C- /l
Proposed Facil ; ~►5 Design Flow (.1949): 36.b Pmpt:rty Size:
Locadoa of Site: j P rtq` Pfcpe fly 9mWed:
Water Supp[p 13' odc ❑ Individual ❑ Well ❑ Spring ❑ Other
Evduadon Method: ❑Jduger Boring ❑ Pit cut.
Type of Wastewatm O'Srewage ❑ Industrial Pmcess Mixed
p
R
O
l .1940 1941 PRO- 1-FACTORS
P F44 RPHOLOOY OTHER
L Larduap~ Harizaa .1941
Poside Slope .
E pe % f Depth .1941 3611 1:E .1956
'lr (ln) Cantlelauee Wetne~/ .1944 ProMe
MirHnla Color Seprv Re* Clw
CIA" Hods. AL'1M
J L pia b ° i f~ --..ja
L z4~ o-I5 5
~8- era .
rr^°~
fare
.P
Evaluates! By'Others Presnt 3~~~ 4 L
Site ClassiHcadon (.1940 Pl~
1 ~ ~ r
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