IPACHTE# Harnett County Department of Public Health
Improvement Permit 26444
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T . / SUBDIVISION LOT #
NEW REPA ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ; V> Z
Projected Daily Flow: GPD %W
Number of bedrooms: Number of Occupants: ma J
Basement ❑Yes LNo
Pump Required: ❑Yes ❑ No DM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L1 Public ❑ Well Distance from well feet Permit valid for: 2 /Five years
Permit conditions: ❑ No expiration
Authorized State Agent- _ ` Date: 1-5 I SEE ATTACHED SITE SKETCH
The issuance of this permit th ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with apps ropriate governing bodies in meeting their requirements. This
site is subject to revocatio ' e 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 TO: TZ~ r PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: z?~ G'~d t/3 /New P Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Li No
Type of Wastewater System** Z I i! (Initial) Wastewater Flow: / ZV GPD
(See note below, if applicable
1 (Repair)
Installation Requirements/Conditions Number o trenches 2-
Septic Tank Size /00-0 gallons Exact length of each trench feet Trench Spacfeet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: . 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
Conditions:
Aggregate Depth:
61 - inches below pipe
inches above pipe
1'2-- inches total
WATER LINES (IN(LUDING 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 application. / accept the specifrcationr 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 permit. SEE ATTACHED SITE SKETCH
Authorized State ent: Date:
Construction Authorization Expiration Date:
HTE# ~ Permit #26
~
Harnett County Department of Public Health
Site Sketch
I/
3t
25 3i~
1 yor/i
Deparhnent of Environment, Health and Natural Resources shed:
Division of Environmental Health •
On-Site Wastewater Section Property ID:
Lot
SOILSTTE EVALUATION File
for ON-mTv w Code:
ASTEWATER o z a I :M2
Owner. Applicant:
Addrem,
Date Evaluated::Y - /v - 0
Proposed Facility:
Design Flow (.1949):
Property Size:
Location of Site:
Property Etecorde+d:
Watet suppEy .
IIC ❑ hxNdual ❑
Well
❑ Spdng
Evaluation Method:
Type of Wastewater:
Auger Boring ❑ Pit
[s
❑
. Cut
ewage
lndnstrial Process
Mixe
d
P
R
O
P
t
1940
301][.N0RPHOLOOY
OTHER
.
L randacapr Herizoa
.1941
PROFIt$1:AATORS
M Slope % t
.1941 .1941
St
w
.1941.
Soil
1945
ucho
Calwatem
Tax Mlwreta
wetnow
Color
Soil
tN
.
Z L - i 5
5L
15'-D
5c c ~S:Q
3 1d
❑ Other
1916 .1944 PFolll®
Irpm Re* Ow
:lw Hain. !ii LIAR
,f
V
C
5
Site Clawcadon (.1948k
Evaluated By:
Others Preme L-- J