IPACHTE#~ Harnett County Department of Public Health
Improvement Permit 26561
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:
ISSUED TO: ~t C"o N crzuc,7' 0 V-J SUBDIVISION ti ~cZS ~,a QE LOT #
NEW REPAIR 4 EX ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 r (D
Proposed Wastewater System Type: 5°to V St= V C993I11 N
Projected Daily flow: r-l4 Q GPD
Number of bedrooms: Number of Occupants: `9,-,j max
Basement ❑Yes X No
Pump Required: ❑Yes 2K.No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well lb Q feet Permit valid for: Five years
Permit conditions: ❑ o expiration
Authorized State Agent:: ~ y+ ~ (LG-.~'+5 Date: LA -0,% SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holder responsi le 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 he 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 TO: ',,(A y r' ~o NS^(7,U cm o g t PROPERTY LOCATION: oGs
SUBDIVISION LOT #
Facility Type: ~O New ❑ Expansion ❑ Repair
Basement? ❑ Yes °e-IJ,, No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** ` 5 10 ees")v cd„ o "J S-)51f-scN
( %
RS:-UVCS~ 0 g`1~ i ~Sn (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size A ®C1 O gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZL'-) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: GPD
Trench Spacing: Feet on Center
Soil Cover. a. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 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 spec/fed is different from the type specified on the application. / accept the specifIcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoca site n, plal 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 ~ to complian 'th the isions aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: - 1
Constru Authorization Expiration Date: i'1 g
HTE# it 5--- X04 11 Permit # , -(h5G
Harnett County Department of I-Ni-blic Health
Site Sketch
PROPERTY LOCATON: <5 C4
ISSUED T0: SUBDIVISION io^~Esz,s R,Qe~ LOT # $
Authorized State Agent: _D Date: X) x811 }
13-7 /1
y A
1 S(~
Department of Environment, Health and Natucat Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Property
Lot
SOIUSITE EVALUATION
File
for ON-SITE WASTEWAT sysTE11h
Code:
Owner. Applicant:
Address; Date Evaluated
Proposed Fad itp: L) Ded p Flow (.1949): t3~
Property Size:
Locatio»E of Site:
Watdrt Snpptp Pub
96 ❑ Individual
❑ Well
❑ Sp~g
❑ Other
Evaluation Method: uger Boring ❑ Pit
Type of Wastewater: S
~
Cat.
ewage ❑ Wastrial Pro
cess [
Mixed.
P
R
O
P ORPOLOGY
H
O'C
t .1940 .
194
I
L Landua
1iEIt
PROb7t,B t?AG"tOR1
E PositiaDepth
.1941
H Slope % Constatm"
.1941.
soil
wetrind
r
144!
1916 1944 pmmi
jj
MIM11o
Color
9011
IN•
3apre Restr Clw
Ciw Hats . A' LT/1>t
12.~TJ
5
site Classification (.1948X
4< ~v-;.. Evahzted ByiD<,
v Others Prexnt: 0