IPACHTE# fl - -~63 63 Harnett County Department of Public Health
Improvement Permit 26341
A building permit cannot be issued with only a Improv ment Permit
PROPERTY LOCATION:l L.cu~
ISSUED TO' SUBDIVISION LOT #
NEW L?f REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1&q 14 r.1, l.0
Proposed Wastewater System Type:
Projected Daily Flow: 3 L ~ GPD
Number of bedrooms:
17
-
Basement ❑Yes
R"No
Pump Required: ❑Yes
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
Number of Occupants: L max
® May be require~d,bd on final location and elevations of facilities
El Public Zell Distance from well /00 feet
Permit valid for:
Z t'Ive years
❑ No expiration
Authorized State Agent:: UOc- Date: Y /gZQ/6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Heath 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 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 TO: 11 y rI /c z~ c Io PROPERTY LOCATION:
/ SUBDIVISION LOT #
Facility Type: 2 /New ❑ Expansion ❑ Repair
Basement? ❑ Yes 97;0 Basement Fix ures? ❑ Yes ❑ No
Type of Wastewater System' C6k-Vey (Initial) Wastewater Flow: 5160 GPD
(See note below, if applicable
hV (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 5) gallons Exact length of each trench 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: 18 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
P Aggregate Depth: d, inches above pipe
Conditions: -.AL, ie- 0"I ~.CAku~r 01 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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/ication. /accept the specilcations 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 chance in ownership of the site. This
Lonstruchon 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. NU AI IALHtU SIZE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: / ta-ag,
H T E # //-,S'=),-i.,3 i. Y
Permit # .2, 3 `1 /
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ?c3. Ic
ISSUED TO: s sz t ~PI SUBDIVISION LOT #
Authorized State Agent: , CL Date:
fjs
6 A-11 1, d- Gr- Z Cr, per.. 7 t
Department of Environment, Health and Natucat Resouma Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOMME EVALUATION File
for ON-SITE WASTEWATE1gSYSTEM Code:
Owner. Applicant: Zza
Addtest0 Date Evaluated: 41 /8 Proposed Facility: Desigp FlOw (.1949): Ftopettq Size:
Lacadotf of Site: PropottyRecorded:
Watet Supply;; eAu, tea ®Individual [Well ❑ Spring Other
Evaluation Ntetltod: er Bor ing ❑ Pit El- cut.
Type of Wastewater, l.~J sewage 11 Industrial Process ( Mixesd.
P
R
O
P SOIL MORPHOL001( R
t .1940 .1941
L [andwpHadzoa FROM PAC."tOR9
1941.
E PaelHad Depth .1942
.1941 soil 143
M 91ope % (hL) SMucuw calwatem wcbmd 90i! ss9e.n
Tam Miawela Wow
QY,
0-9
.1944 Pto01e
Re* Clai
Site ClmsiQcadou (,19482
Evaluated By: , v.
Mas Present: a`