IPAC RHTE# 08#~r 10 94 Harnett County Department of Public Health
Imarovement Permit 26339
A building permit cannot be issued with only an Improvement Permit
7 PROPERTY LOCATION: '
ISSUED TO: rl~f /1 ~ 1~ ~-t- asti SUBDIVISION i' A 4~= O,"-tff LOT #
NEW 2REPAIR ❑ s EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'E 0 q q JZ y r
Proposed Wastewater System Type: <-,zo xfc-"'E-`.c'c a
Projected Daily Flow. - C Q GPD
Number of bedrooms: .,7 Number of Occupants: L max
Basement ❑Yes CYNo
Pump Required: ❑Yes ❑ No 2"MMa0e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L2' Public ❑ Well Distance from well feet Permit valid for: ~ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: !'W X4311 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health D partment in no way guarantees the issuance of other permits. The permit holder is esponsible 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. t
ISSUED TO: o-+s ~.cre PROPERTY LOCATION:
~ SUBDIVISION ~:v z L, LOT #
Facility Type: -E 6 2 New ❑ Expansion Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No n
Type of Wastewater System** v aac. ovac•~~ R`=c.~ . X (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable
Grr~~~:c (Repair)
Installation Requirements/Conditions Number of trenches J-
Septic Tank Size /000 gallons Exact length of each trench '-7 L5-~ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4 - LZ_ inches
Maximum Trench Depth of. l Q -9~-Y 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 inches below pipe
Aggregate Depth: c2. inches above pipe
Conditions: 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 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. Jtt AI IALHtU Mit Jl ILH
G
V/ Xcl"", _
Authorized State Agent: G~ Date: I
Construction Authorization Expiration Date: ! /
H T E # 0 -S~-o2)CaR5X Permit # o2t, 332
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON:
ISSUED T0: rr.~,cra S T~ SUBDIVISION LOT #
Authorized State Agent: Date:
d
i
04,0 -
Depar6nent of Environment
Health and Natural Resources
.
Divisioa of FaivironmenW Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOujS1TE EVALUATION
File 0:
for ON-SITE WASTEWATER SySTEME:
Code:
Owner. Applicant:
Address: Date Evaluated:'1/111'2 1
Proposed Facility: DedP AM (.1949):
Property Size:
LocadoQ Site: Ptiopettp Recorded:
-
,
Water SvPP
j Lf 111 0
b dividual ❑ Well
❑ Spring
❑ Other
Evaluation Method: [ Agger Boring ❑ pit
T
e of Wastewater
cut.
yp
. ewage ❑ Industrial Process
Axed
P
R
O
F SOEL MORPHOLOGY
OT
I .1940 .1941
L La ubmape Horizon
HER
PROt7L6 FACTOR3
E Poeitlad 1941
b .1941 .1941 Soil
91
SID" 94 (40 Strvcturn/ Conddome Wetness!
10,43
.1946 1944 Ftom
Taadun Miurale Color
9011
IN•
Sapre Rear C1ui
Clue Hail
A"
I ALTAR
.
c
9 elm Ropair sY albs Factors (.194tSk
.194! Site ClaWcatlou (.1948X
Evaluated By: ,A--
Others preme