IPACHTE#5- (o-12® Harnett County Department of Public Health
Imurovement Permit 26508
A building permit cannot be issued with only an Im rovement Permit
tC (4
PROPERTY LOCATION: 5,1 i dGr IJ 1 C G3,
ISSUED SUBDIVISION Ph LOT
NEW P REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: bGtS/a~
Proposed Wastewater System Type: Z5"y2, -IZ4-DUC41t'".)
Projected Daily Flow: a q1) GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No I Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IJ Public ❑ Well Distance from well feet Permit valid for l3 Five years
Permit conditions: ❑ No expiration
Authorized State A nt:: /1- Z " Date: Ce - L °l/ SEE ATTACHED SITE SKETCH
The issuance of this permit b th ealth 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: + PROPERTY LOCATION,'L/5-k(
SUBDIVISION LOT #
Facility Type: `t7LA-) Z /New ~❑Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L!f No
Type of Wastewater System** 1:F1ra J-46' y, (Initial) Wastewater flow: -<'N6_ GPD
(See note below, if applicable
1r-.a r p'--- (Repair)
Installation Requirements/Conditions Number of tr ches
Septic Tank Size / b0 0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ~2 inches
Maximum Trench Depth of: 261 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:
4-1 inches below pipe
Aggregate Depth: '2- inches above pipe
/ 2- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 apecipcatians 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: t' -f(
Construction Authorization Expiration Date: 6 `/-7
HTE# jt ® " 7-6-720 Permit # °2 &S 6 8
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON: 5;t 15-14 14Ar+~ C P(gid4!4 /a-
ISSUED TO: SUBDIVISION ~e 65%e= LOT #
Authorized State A Date: j
4A-D )0 b 5
® Zd~ ` -
1
I
Depmtment of Envimnmenk Health and Natural Resourrxs Sheet:
Division of Envimnunental Health On-Site Wastewater Section Property ID:
Lot
SOILISITE EVALUATION File M:
for ON-SITE WASTEWATERSYSTEM Code:
Owner. Applicant; P-
Addtests Date Evaluated:~6 -/-1/
F tar I f b Design Flow (.1949);26 Propt:rty Size:
Location o(Site: pro
Watnt Supp(ji #6 ❑ Individual ❑ Well ❑ Spdng
Evaluation Method: rA
, Boring ❑ Pit cut
Type of wastewater. ewage Itd
❑ wwal Process [ mixed
P
R
0
R
P SOIL 17
1 .1940 .1941
L ape Hoeizae PROERS FAM
E Poaidad Depth .1941 .1941 soij
M Slope 9t, (1a) 3trvohtni Corulkaoce Wefned •1049
Toxdpr~ Mtnenla - - soil
Z~1L ~ SL
Ll
-11 T,
6- /5 'S L
r .7,
❑ omer
.1956 .1941 lfioli)i
Sepre Re* CIM .
Ct+w Harts. A LTA>t'
L
tuna ractcm (.1946k
Site Classification (.1948k
Evahzted Br.
Others Present: