IPACHTE# su° z~20 Harnett County Department of Public Health
Improvement Permit 2 6 4 3 2
A building permit cannot be issued with only an Improvement Permit
rG'lj
PROPERTY LOCATION: q, deo
ISSUED T0:% SUBDIVISION
LO-Tit
NEW L REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: t V
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No L~f__Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L1 Public ❑ Well Distance from well feet Permit valid for:
LXFtve years
Permit conditions: ❑ No expiration
Authorized State Ag ° ' Date:
` ~ SEE ATTACHED SITE SKETCN
The issuance of this permit b Health 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: : i61 PROPERTY LOCATION: 12/
d /V>
SUBDIVISION LOT # 36-1
Facility Type: 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 0No
Type of Wastewater System" 2'5- le-, r"Z 01t.- S y~, (Initial) Wastewater Flow: 3G ID GPD
(See note below, if applicable
Installation Requirements/Conditions umber of tre es 2-
Septic Tank Size 666 gallons Exact length of each trench tS 0 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: Z zl °9tg' 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 6 inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: j~ 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 dih`erent from the type specified on the application. / accept the specfcatiox 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
Lonstrucuon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disnnsal and in rho r-dirin- „t r6{. --it Ur ATTArurn CITE CvETru
Authorized State Age Date: z/
Construction Authorization Expiration Date: Y- 2c) - t
HTE# / ` Z(, ZZ5
Permit # -Zj~pc O 2
arnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: -~~N3-7 l,-d le-b
ISSUED TO: -5)Akt./. f511-7 SUBDIVISION LOT #
Authorized State Ag t: . Date:
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property
On-Site Wastewater Section Lot Property
SOIIJSITE EVALUATION File N:
for ON-SITz WASTEWATER SYSTEM Code:
Owner. Applicant;
Address: Date Evaluated: y - 100 Proposed Facility; Design FtoW (.1949): Property Size:
Locatiotc Site: Property Recorded:
Watdrr Supply; ( ~ ❑ hxw ❑ Well ❑ Spring ❑ Other
Evaluation Method: ger Boring pit 4 5.16 a. cut.
Type Of wastmter. Sewagc ❑ Industrial Pmcess Mixed.
P
R
O
P OLOGY
L ik.1941
1 .1940 PROM FACTORS
1942
.1941 Soil .1944 Phoill®
if Slops Consideaa soil Sapro Red r Ch+u
Color Clow Hail. a
L Z 6-2q 5L K ,tJ✓` `
3 z`L e - St. G~ J
-C A-
~ep.,r XYIU= Other Factors (.1940
teat = Sits Classification (.1941
Evahated By:
o, - Others Present:
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