IPACHTE# r>=~~ Harnett County Department of Public Health
Improvement Permit 26337
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I' o~ c~ ~,s P~d•
ISSUED T0: /et e d c,11~ rtf SUBDIVISION LOT #
NEW 10" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 114 /f / V 4 `7 0-
Proposed Wastewater System Type: ;,Z rk-,
Projected Daily Flow: 'Z; GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes I. IYo
Pump Required: ❑Yes ❑ No ~a be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2Public GiWell Distance from well "7S- feet Permit valid for: 2-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: & a (e Date: C- y/ 0~kedd SEE ATTACHED SITE SKETCH
The issuance of this permit by th Health Department in no ay 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 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: PROPERTY LOCATION: a ~y ,-4
SUBDIVISION LOT #
Facility Type: /71 6New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C~J7- (Initial) Wastewater Flow: b GPD
(See note below, if applicable
T~ m~<~w S,l f l (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /0(30 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
a_
6t--
Exact length of each trench ~3 '30 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: / inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
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: 1 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
lonstruction 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 Agent: Date: ' 1,2- 0
Construction Authorization Expiration Date: g 1l"A.
HTE#
ISSUED TO:
Authorized State Agent:
k-ti -
g-, tt
Permit # a - v,37
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:~c wc~/ 41,
SUBDIVISION LOT #
Date: ////l Xoxx
179
Department of Environment. Health and Natutat Resource= Sheet:
Division of EwAronmental Health property ID:
On-Site Wastewater Section Lot
SOIIJSYPE EVALUATION File
for ON-SITE WASTEWATEI%SYSTEM. Code:
Owner: Applicant;
Addreu.- Date Evaluate&4 Zoe I
Proposed Facility; Design Flow (.1949): p
Lacatioa ~ 5ite: roprh Size:
it Sn Property recorded:
Watdi?piF` >c
❑ individual ❑ Well E3
spring ❑ older
Evaluadan Method: ger Boring ❑ pit . Cut
Typo of Wastewater l..y' Sewage ❑ Industrial process Mixed.
P
It
O
F 301, uo"H01.00Y $
1 .1940 .1941
L L ull"Pe Horizon .1948 PROFtt,B FAC COR3
9 Posidow Depth .1941 l941
N Slope % (k) Sttvcturd Camdeteae®
Textae Minnie
046
4W
low C
t/r
zj-
ic J-
1c, /Y. c-
0
Qhcf Fectom (.1946k
Site CiassiBcadoa (.1948X
Evaluated gy; r~
others present:
3011 . .1043 .1956 .1444 Ptomi
WeMeW "sod Sapre [N. ft* Ctus
Color Clue Hats. a HMM
;f
;3