IPACHTE# -5"® Z-6 Z')'? Harnett County Department of Public Health
Improvement Permit 2 6 4 3 6
A building permit cannot be issued with only an Improvement Permit
J
ISSUED TO PROPERTY LOCATION: .Y/L 157!9
t SUBDIVISION 4 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements req ' ed pr' to Construction Authorization Issuance:
Type of Structure: hili k u-&
Proposed Wastewater System Type: ZS a/n t Z V 6
Projected Daily Flow: 6 GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Age c' Date: I/ - 04 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 fee 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: t AJ PROPERTY LOCATION: IFV- 1 5 r r~
SUBDIVISION r:Llz`s 6i _ 4X.,-> LOT # 3
Facility Type: ER New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ es ❑ "No
Type of Wastewater System** yrt0' (Initial) Wastewater flow: C) GIRD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches _
Septic Tank Size 1006 gallons Exact length of each trench °3t0t3 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: J 2 ° " inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: 6 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 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 app/ication. / accept the speciFicatidns o/this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chanees. The Construction Authorization shall not be transferred when there is a chance in ownershin of the vita 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. SEE ATTACHED SITE SKETCH
Authorized State Ag t:
A,4-4y-Y Date: 1/- Z 1-Construction Authorization Expiration Date: Y- ZI / (a
H T E # & - ~ Z'l7 Permit # ~ (z
Harnett County Department of 11ablic Health
Site Sketch
PROPERTY LOCATON: z,°/5 ~
Li 11 r
ISSUED TO:
- SUBDIVISION rJat _F. LOT #
Authorized State Age Date:
Departrtzent of Environment, - - Wth and Natural Resources
Division of Em►ironmentat h,--& Sheet:
Shed: ID:
On-Site Wastewater Section Lot Property
SOUJSITE EVALUATION File fit:
for ON-SITE WASTEWATER SYSTEM: Code:
Owner. Applicant;
Address; Data Evaluated:
Proposed Facility: Deslgp Flow (.1949): Property Size:
Locatioa of Site: Property Recorded:
! W Q Ldividual ❑ Well Spring Oth
er
an A ger Boring ❑ Pit . cut.
Type of Wastewater Q Sewage ❑ Industrial Promss Mixed.
P
A
O
F SOIL NORPHOLOOY O7 R
1 .1940 .1941 PROFRA FA~CTOR9
L Lardso" Horizon 1941
11 4 Slope 96 •1941 .1941 341 .1944 SftCmd Coaddem WetnaW :1043 .1996 Re* Froltie
Ted Mtn~nlo IOU oi1 S®1M Reatr CraN
color QY, Ctus Hons. ALTAR
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Site CimsiHcatios (.1948k
Evaluated By:
Others Present:
30
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94
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