IPACHTE# //-~S- z~,639 Harnett County Department of Public Health
Improvement Permit 2 6 4 5 0
A building permit cannot be issued with only an Imp v7: Perm)
PROPERTY LOCATION:
ISSUED rT~C_&~5 SUBDIVISION LOT #
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: tq
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Numb of Occupants: max
Basement ❑YZV No
Pump Required: ❑ No Yph, e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community bl ic ❑ Well Distance from well feet Permit valid for /rive years
Permit conditions: a ' 5Z4-,-,2 '24,C O, `ice f ❑ No expiration
Authorized State Agtt - Date: S SEE ATTACHED SITE SKETCH
The issuance of this permit by 't 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 TO: 0 104' Ave A r°f PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: VNew Expansion ❑ Repair
Basement? ❑ Yes Y Noy, Basement Futures? ❑ Yeses 1 No
Type of Wastewater System** (Initial) Wastewater Flow: 3420 GPD
(See note below, if applicable cl _
> .0 V_p ~ ~S ) (Rep la r)
Installation Requirements/Conditions Number of trenches
Septic Tank Size &W gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size U gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z0 > rt 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:
4 ,
40 inches below pipe
Aggregate Depth: 2- inches above pipe
2, inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specilcations 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 ` )tt AI IALHED SITE SKETCH
Authorized State A Date:'
Construction Authorization Expiration Date:
HTE# Z(3 ! Permit # 2645-0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: rz~~ f2
ISSUED TO: dh~ SUBDIVISION / LOT #
Authorized State
--Y--, ~a
Yz
+0 (koj-
V.
Date:
-Bytv q(t)
Department of Environment, Health and Natural Resomva Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOIUSITR EVALUATION File 0:
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated: s -n- '
Proposed Facility: 5 Deslga Flow (.1949): 7 Property Size:
Locatf,gm 9( Sits Property l=rded:
Watet 8upptp . LJ Pub#6 ❑ WMdual ❑ Well ❑ Spdng
Evaluadoa me"- [Auger Boring ❑ Pit . cut.
Typo of Waste4vatt r: Tsewage ❑ Industrial Process 0 Mixed.
P
R
O
P
.1940 SOIL Ma"HOCOaY Ott
1 PROFtL6 F
L Landscape Horizas .1941
.1941 AL'fC
E Position/ Depth .1941 .1941 Sidi
N 910pa'1i (la) SMuch1w Conddem Wefnesa! 1043
Tomwe Mlasrslo color Soil
aN.
❑ Other
.1956 .1944 home
Ssprv Re* Chu .
CIA" Horis. ALTAR
9 - 34, 5&-c 17
211
Z t
9
L ~jtr b _ ^ L ~ flt9N0
r~-
"
7 L ` 3~/- k 5 L
' sy"tim
Other Factors (.1946)
Site Classification (.1948) 1
Evelwted By:
O
&3.
~Se
z~
Y
Neal C. Floyd .Associates, Inc.
.4 164
sue, wJ~ ~~s
211 24 12,011
!-zu 4k-Izo
lei- S2 t72 '~"t> d p..~ s c~nS - :.1w T1nq.
Off, 1o°/ scar... 5c;k*11s4 v
~r,&&*~
t~+nn5~ A- t~G+4C~ t~ . ~ Atx~
5ot~ S c~.a~i!"'%"Z~ ~ 1n~ ~+n,C~ c~. !t~ ~3 i ~nr.~i►, 5i~
j &af kU IC1
frL
Cx- cap 01
tom' °f'~
%~Of-A- vk"-e, ao,i C
swl*~O5~
W,11 ArWf UMUde WAY
/ 919 122 674E
r
PI
k1 Ot,
zo,
C-10.
i
l
.wo
If I
71
a
* i
ow ffi VI0~{ ~ ~ R4 3
i Y
r
t ,N t#L
TINT-)
1
s
Y,
~r
r s
t V s
x