IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 6 51 3
A building permit cannot be issued with only an Improvement Permit
J PROPERTY LOCATION: ,1 'eo
ISSUED ^T0/: I 1 SUBDIVISION LOT # Z
NEW L~' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F-16
Proposed Wastewater System Type: Z15014 4~t
Projected Daily Flow: acs GPD
Number of bedrooms: Number of Occupants: In max
Basement ❑Yes 12"No
Pump Required: ❑Yes ❑ No L+J~av e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lit Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Ag t:: . L .®"f Z Date: _ 6-21-11 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached jsystem layout.
ISSUED T0: PROPERTY LOCATION: f1 /i~rj .f
SUBDIVISION LOT # e
Facility Type: New F-1 Expansion ❑ Repair
Basement? ❑ Yes LI No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System** 2!9'd, V7f 2or~-) ~g (Initial) Wastewater Flow: GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size gallons
Exact length of each trench J 1- feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 7, Z- 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:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
./`Z- 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: /under fond the system type specified /s different from the type specified on the application. /accept the rpecificatioar 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 chanee 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 A nt: 2- Date: 42~ ~f
Construction Authorization Expiration Date: -2Z A6
1/10 Z~M Number of trenches ~ j`
HTE# f/~ = 2(6~-5;- Permit # 2657/3
Authorized State Ag Date:
61
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Department of Emirotvmnt, Health and Natural Resources Sheet:
Division of Envirorumental Health
On-Site Wastewater Section Property ID:
Lot
SOIUSITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner. Applicant;
Address: Date Evaluated: 6-1 5
ProPow Facility: De dp FlOw (.1949): Property Size:
LocadotE Site: Fropeity Recorded:
Walu Sup , 0'PublJ0 ❑ I»dividual ❑ Well ❑ Spring ❑ (mer
Evaluation Method: ❑4uger Boring ❑ pit . Cut,
Type of Walt mtm- ❑-Sewage ❑ Industrial process mixed
P
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P SOM MORPHOLOGY OTM
L .1940 Pa Horizon .1941 PRO FACTORS
,
E Positiad Depot 1943
.1941 .1941 sail
a slope %
structure/ Condrteaco Weeneu/ 143 .1956 .1941 PYottl®
To Mtaenlo Color 9oU seprv Re* CAN
IN, Ciao Horiz. 4LTU
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3 ~Z~ d ov sL ~G,~hr~r°
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36
G 1D-- 15`
..-r, °y vraer Factors (.1946)
Site C1auiEcatit>tt (.1948)
2 $valwted ,
OtMers present.