IPACHTE#/-~° z`7 Harnett County Department of Public Health
Imurovement Permit 2 6 3 3 4
ISSUED TO 1 n
re
I~,~ ~Cc{cv-.~ SUBDIVISION ~~c~r,r ~ ,nj°
LOT # 45
J
NEW V '
REPAIR El
e EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5-
•1) C
J- X LJ S. r,.a
Proposed Wastewater System Type:
% ,Utc u t,
7
Projected Daily Flow:
~J L, C
GPD
Number of bedrooms:
,3
Number of Occupants: -max
Basement ❑Yes
2o
~
Pump Required: ❑Yes
El No
k Ma be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community P Public El Well Distance from well feet
Permit valid for: I4 Five years
Permit conditions:
El No expiration
Authorized State Agent:: t ffj Date: ..3 2.f ~ Off SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in ~o way guarantees a 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 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: , " c A A" c `f e v 1 d~~ t PROPERTY LOCATION: a trl
SUBDIVISION C.~ LOT # ,J"
Facility Type: New 171 Expansion ❑ Repair
Basement? El Yes El No Basement Fixtures? 171 Yes El No
Type of Wastewater System** 411,11 . S71 J--k j'-.- (Initial) Wastewater Flow: GPD
(See note below, if applicable E-1) c2 sJ o ~ Esc ~cb~ .f etes (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Z 010Q gallons Exact length of each trench feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 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
Y-
inches below pipe
Aggregate Depth: inches above pipe
WC) 7- G 04" inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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/icatiom / accept the speciflwions 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. Jtt Al IALHtU IIIt JKtILH
Authorized State Agent % Date: ~ l f
Construction Authorization Expiration Date:
A building permit cannot be issued with only an Irovemrent Permit
PROPERTY LOCATION: 6{t~
HTE# ( ) 93 Permit # a ~v 33 J
Harnett County ]Department of Public Health
Site Sketch
;,~Zs°
Departrnent of Environment
Health and Natural Resources
.
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Property
Lot
SOIUSTTE EVALUATION
File 0:
Code:
for ON-SITE WASTEWATZ]jSYSTEr4
Owner. Applicant:
Address:
'
. DateEvaluated:
/
Proposed Facility: Design Flow (.1949):
Property Size:
Location 9ita: Propdrty Recorded:
Water sup* c ❑ hxNduat C] Well
❑ Spring
C1 Other
Evaluation Method: or Boring ❑ Pit .
Type of waswwater
❑ I
Cut.
ndustrial Pmcess
Be
Nxed
P
R
O
P SOIL M0"HOLOOY
OTHE
1 .1940 .1941
L LAWSOM Horizon
PR
R
OFII.B PA~"tORa
E faxidad .1945.
Del6 .1941 .1941 soil
N Slops % (110 sbucm w Coniietaace Wetness/
1114
.1916
.19" ftmi
Textwe Miwnlo Cola
& y~ v - 2 G- t/ ~vj
$oil
QY.
Sapro
Ctase
Rsatr CfoN
Hods. ALTAR
r,
/ ~r
t~-3~ s~C~ 1~ 1 MLZ `'r 7 f 76
Site Classification ( 1948X P-)'
T , f Evahated By: R,
Men Present: 0r'