IPACHTE# '/Z% = ,,Z1-yL. Harnett County Department of Public Health
Improvement Permit 26342
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S !n C /J.
ISSUED TO- f", C>^ c SUBDIVISION LOT #
NEW REPAIR ❑ , EXPANSION ❑
Type of Structure: J- 4- qc~
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 2 /ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for. L+!f Five years
❑ No expiration
Authorized State Agent:: Li fj Date: Ylkib/' Z6,f/ SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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, .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: c 1~
gin' ,
SUBDIVISION
LOT #
F
e
J TD
acility Type:
l
New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ es El No
Type of Wastewater System** -c-, A 1.011
(Initial) Wastewater Flow: ~C a GPD
(See note below, if applicable
.
0p
~
R
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t
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epa
Installation Requirements/Conditions Number of trenches q
Septic Tank Size OOU gallons Exact length of each trench / QQ 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: I C) 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
Conditions: f ( ,I I , I CJ S = cf ~
Al
Aggregate Depth: o?, inches above pipe
t' u,cJy Ik 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 speciped is different from the type speciped on the application. / accept the specircations 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 per iL SEE AIIALHED SITE SKETCH
~ I
Authorized State Agent Date: !~t` r
Construction Authorization Expiration Date: AZV &
HTE# zl~tLo Permit # ,?0.3 VZ-
arnett County Department of Public Health
Site Sketch
ISSUED T0: : ~h r J ny° e
Authorized State Agent:
CI
PROPERTY LOCATON:~ ~J",
SUBDIVISION LOT #
& Date: V 21 2.011
/ d
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rr &
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Y
Y- Af- 4 IC°-1-I ',.I 06t
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Department of Environment
Health and Natural Resources
.
Division of Environmental Health
Sheet:
On-Site Wastewater SeWoa
Properly ID:
Lot 0:
SOIIJSTT>I EVALUATION
File e:
Code:
for ON-SITE WASTjgWATE$.SYSTEM
Owner. Applicant:
Address; . Date Evaluated: q //1 /-zcll
Proposed Facility: Design Flow (.1949):
Property Size:
Lacatlca Site: Property Recorded:
Wat" Supptjr M 1lC ❑ h dMdual ❑ Well
E,Wll
tla . Mo
d
11 Spring ❑ Other
.
o
: u er Bonn
8 8 ❑ Pit Cut.
Type of wasrtewater
S
.
ewage ❑ Industrial Process Mix
e d
P
it
0
B SOIL MORPHOLOGY
1 .1940
1941
OTHER
.
L Landscape Horizon
1941
PROMIA FACMR9
.
.1941 Ca.1941 Soil
slope 9ti (IM)
Stnu'tun/ nstrante WelneW
C
r
143
1956
Soil
.19M P1o11li
Texlun
o
wde
Color
lsS t v- 8 & 4r vk-
W
Sapro
" " IN. C1ase
Re* CIw
Hail. ALTAR
.
7k 51) ' c f~
f
C-7-:79 5v.6/ c-
Af [~z
~s
Site ClassiBcadon (.194ik ,lf
Evaluated B)r,
Others Present: