IPACHTE# /I - Z6Z-75 ~ Harnett County Department of Public Health
hDrovement Permit 2 6 4 2 9
A building permit cannot be issued with only an Improvement Permit
r PROPERTY LOCATIO :lci'3 7/✓'
ISSUED TTo. SUBDIVISION LOT #..z
NEW LAS REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5f7- ~
Proposed Wastewater System Type: 2`501o fE13.` ,
Projected Daily flow: ,0 GPD
Number of bedrooms: Number of Occupants: (a max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ZMav,e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I~f Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: :3 ° Z 1- t t SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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 T0: PROPERTY LOCATION: ~ . Y %rC t~
SUBDIVISION'..., LOT # .2
Facility Type: IJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes Z No Basement Fixtures? ❑ Yes
Type of Wastewater System** 2,571h 1 , Q C-4 ~C, yy`%-~• (Initial) Wastewater Flow: .366 GPD
(See note below, if applicable
Z:,->- 20 (Repair)
Installation Requirements/Conditions Number of trend es 3
Septic Tank Size gallons Exact length of each trench 80 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z2 sa 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:
Aggregate Depth:
inches below pipe
inches above pipe
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: / understand the system type speci>ed is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, Plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance 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: 3-- z i - t 1
Construction Authorization Expiration Date: 3 -zf -t
HTE# 1/1-S-- Zt,`Z2t;-
Permit # 26 4 Z,!5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:_ :5-x Iq 3`2 i3 -t r+ ..P /2-JD
ISSUED T0:~ C r3ir-l SUBDIVISION LOT #
Authorized State Agen • P,,+kon Dater -2!1-t
F~2a}t~2~ ~2
Department of Environment, Health and Natural Resoumxs
Divisioa of Environmental Health Sheer
•
On-Site Wastewater Section Property ID:
Lot
SOWSITE EVALUATION File
far @N-S1TE Code:
WASTEWATER SYSTEbh
Owner. Applicant: j
Address; Date Evaluated: 3-(s'-' It
Proposed Facility: 5 Deslga Flow (.1949): 33 e) Prop" Size:
Locatioa of Site: Fropeq Recorded:
Watet silm r; O fubuc ❑ individual ❑ Well ❑ Spring
Evaluation Method: O'Auger Boring ❑ Pit Cut
Type of Wastewater. ❑"Sewage ❑ Industrial Process mixed..
R
O
F
SOIL MORPHOLOGY
I
.1940
.1941
L
LandMP
Harim
Poside
Dqd .1941
.1941
M
K
~
St ucubw
Coadew
T@Xh"
Mbmlo
f
L
9Z SL
,2N511~1~
dye n,s~, ~
3 LZ`3 a SL
OTHER
PROFR,g Fp,C
.1941
Soil
weland sd.
❑ Other
.1936 .1944 ptome
32pro Re* ChM
Clore Hons. A LTAR
.f
Site Classification (.1948k /75
Bvaluebed By;~~
Oth,~ Preme