IPACHTE# Al-SrAs~C Harnett County Department of Public Health
Improvement Permit 2 6 5 7 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W t> z --UC, ~ ~.D
ISSUED T0: SUBDIVISION C,.C>s ~ L.~ LOT # a
NEW)] REPAIR ❑ EXPION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: QC,^7\G0 y5~~ rc~
Projected Daily Flow: 36C) GPD
Number of bedrooms: '3;,
Basement ❑Yes ~No
Pump Required: ❑Yes X No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: C, max
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well k O O feet Permit valid for: Five years
❑ No expiration
Authorized State Agent:: Date: 51 ~~1\ 1SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is 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 Improvem 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: yc~) C'~ P~~ 'VNO c~E:S PROPERTY LOCATION: V s_I-i-, ~-'J C 'A-Z' ~ -D
SUBDIVISION Q,9Q0LA.tJ4>, 0 "-'S LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System** Flo PC-ougc ker.>.f ~~sS (Initial) Wastewater Flow: 3~® GPD
(See note below, if applicable
Q70 US NQ4 'Z-45 ~ 6m (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1000 gallons Exact length of each trench 140 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: - j~ 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: /under fond the system type specified it different from the type specifed on the application. / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su 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 su 'el~c 1 compliance "Z ~ maws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: 5 1e~ 1
Con tion Authorization Expiration Date: S G) 4
HTE# -2 CSeo Permit # 2~~ 5-~ a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~ ~-..uC M
ISSUED T0: rTdc~.E SUBDIVISION C•~~i»s~. ~P~.S LOT # a5
Authorized State Agent: X15 t ~yG2 > 0~ \~soot~ Date:
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Department of Environment, Health and Natural Remure s Sheet:
Division of Environmental Health
On-Site Wastewater Section Pr0pe ' ID:
Lot
SOMSM EVALUATION File 0:
for ON-SITL WASTEWATICILSySTEM; Code:
Owner. Applicant:
Address:.
Date Evaluated:
Proposed Facility:
Locadoa of Sitr
DM O Flow (.1949):
Property Size:
.
Watet Supptp;
Pt+opaty Recorded:
Pubs c ❑ individual ❑ Well
❑ Spdg
Evaluadat Mcthod:
Auger Boring ❑ Pit .
cut.
Type orwastewater:
asewage ❑ Industrial Process 13
Mixed.
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