IPACHTE# 5- f Harnett County Department of Public Health
Improvement Permit 2 6 5 0 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: f
ISSUED TO•¢ /Z ZJZffz'-C
SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to C structjon Authorization Issuance:
Type of Structure: ___5 r b
Proposed Wastewater System Type: 25/v f dVo
Projected Daily Flow: (.0 <3 y GPD
Number of bedrooms: Number of Occupants: l( max
Basement ❑Yes 27 No
Pump Required: ❑Yes ❑ No Lill MMbbe required based on final location and elevations of facilities
Type of Water Supply: El Community IJ Public El Well Distance from well feet Permit valid for: EI/V/ve Years
Permit conditions: ❑ No expiration
Authorized State Ag G Date: -Lv l/ SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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: J)/ l /t Z 4ji PROPERTY LOCATION: f56-5
SUBDIVISION LOT # ~ -~3
Facility Type: /New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 9%
Type of Wastewater System** M 170e <5 (Initial) Wastewater Flow: (Q0 GPD
(See note below, if applicable
ZQ ° (Repair)
Installation Requirements/Conditions Number of trenches 3' C,1
Septic Tank Size /Zt~Z gallons Exact length of each trench / D~ feet Trench Spacing: ( Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. J2:7 Y 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:
6_ inches below pipe
Z inches above pipe
/2 - 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 specified on the application. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site olan. olat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in awnershin of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Trea ent and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Ag t: 9'~ Date: "-37 2 G "Z /
Construction Authorization Expiration Date: ` 2 i
HTE# I1~691
Permit #
Harnett County Department of Public Health
Site Sketch
~ - PROPERTY LOCATON: U'5"6e3 =C ( - e
ISSUED T0: SUBDIVISION LOT # 3
Authorized State Age • ~O- Date:
5
A
I\
Department of EwAmnmenk Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property ID:
Lot
SOIIISITE EVALUATION File H:
for ON-SITE WASTRWATER SYSTEN Code:
Owner. Applicant: e,tA-O-,s
Address: Date Evaluated: S - ZA
Proposal Facility: SFb Deslgtt Flow (.1949): &,Z6 Properil► Size:
LatatiotE of Site: / FMPG
Wate* Supp[p a go ❑ Individual (I Well 13 Spring ❑ Other
Evaluation Method: ❑~uger Boring ❑ Pit Cut,
Type of Wastewater. Semge ❑ Industrial Process Mixed
P
R
O
F SOIL Mcuffomoy R
I .1440 1941 PROFII$$ORg
L Landuape Harizoa 194'
Poeidod Depth .1942
0 slope K (1a) 1941 .1941 Sail a:
Struotard CondMeact We6eeW 149 .1956 .1941 PW 0
Tom" Mtanto Color 9oi1 9el~ro Re* C1w .
IN. Clam Hons. ALT.U
J ',-G a `Zy
z- zz> Y1,
7 ~'~13 ~1$ S°L
-7t ® SL-S ,Oyu
Zy~Zd" ? 1
• ct
Ratty 3yeum t7tlter Factors (1440Site ClauiHcadon (.1948- 1
5 W Evaluated BY 1,
Others Present:
a
9