IPACHTE# Harnett County Department of Public Health
Improvement Permit 26651
A building permit cannot be issued with only an Improvement Permit
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pp PROPERTY LOCATION:
ISSUED T0: ~CSNK R- ~M ~`SS ~o ~2_ SUBDIVISION LOT #
NEWX REPAIR ❑ XPANSION ❑
Type of Structure:
Proposed Wastewater System Type: Q.6.ovGS1 ® 1-1 --Y,57 in,
Projected Daily Flow: 3~0 GPD
Number of bedrooms: Number of Occupants: CD max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes '~KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public '15d Well Distance from well 10 d feet Permit valid for: X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 15 S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit h der i 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 Improven mt 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
Reouired 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: ).15-fXA 9' Sm~-~~1 SQ-- PROPERTY LOCATION: 16 f_Pvy&-Z_ C1a~
l` SUBDIVISION LOT #
Facility Type: Atv rtc3cf '1 New ❑ Expansion ❑ Repair
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Basement? ❑ Yes No Basement Fixtures? ❑Yes X No
Type of Wastewater System** ~/o c3tac.-s~y t~f 5 y ~ t ~ ~ (Initial) Wastewater Flow: 31 0 GIRD
(See note below, if applicable
a.5°lo ~.ESJUUC\ V ••a ~~v trp-(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 C~ U gallons Exact length of each trench o feet Trench Spacing: 3 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: t'a: 2 P inches
Maximum Trench Depth of. aLl- ~ 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
Aggregate Depth: inches above pipe
Conditions: 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 speciped on the application. / accept the specilcations of this permit.
Owner/Legal Representative S Lure: Date:
This Construction Authorization is subject to revocatio he site pan, 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 Authorizationit~sa iect to complianceth> vl ' 0Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: '51Mi
Authorization Expiration Date: b
HTE # 1 5~ ~s Permit # a` mss' 1
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON:
ISSUED T0: n~~ SUBDIVISION LOT #
Authorized State Agent:
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Date: 51 319/
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
S0UJSITREVALUATION File
for Ott-SITE WASTEWATBRSYSTEME Coda:
Owner: Applicant;;
Address: Date Evaluated:
pmposad Facility: DCdP Flow (.1949)• Property Size:
Locadoa o(9iteu: Property Recorded: Sj )~A
Watetsup*. ® PubllC ❑ Individual Well ❑ Spring
Evaluation MOWL* 13,Auger Boring ❑ pit cut.
Type of Wastemter ewage ❑ Industrial Process mixed
P
A
O
F SOIL MOHOWY
t .1940 .1441 OTHER
PAOFItB P~tL."tt
L [ and ap Horizan .1941
B Poaide/ D%A
00 1441 .1941 Sail t449
If Siopeli
Structurd Condatem Wdlnead mail
Temn
Miaaralo Color
~..L C,....'4
s ~
P ~ S.:J~Pq..D if
Other Factors (.1946-
Site ClaWcattou (,1948-
~5 ra Evahzted
~ Others FrcxnBr. C
❑ Other
.1956 ,194
9apre Re*
Ctaae Huns
~s