IPACHTE# - Harnett County Department of Public Health
Improvement Permit 26 51 4
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS /Y Zi, -
ISSUED TV/1 / V A /'t SUBDIVISION LOT #
NEW LZ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6r7)
Proposed Wastewater System Type: ~Ca _ -
Projected Daily Flow:: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes El No Z M,aY~be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
0'r-I've years
❑ No expiration
Authorized State Age Date: Z Z SEE ATTACHED SITE SKETCH
The issuance of this permit by he wealth Department in no way guarantees the issuance of otter permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i 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: /Irk /-JZ' 4 ffr.) PROPERTY LOCATION: 4- ee-
SUBDIVISION LOT # 5
Facility Type: jFb Z/New Expansion ❑ Repair
Basement? ❑ Yes Ej~ No Basement Fixtures? ❑ Yes IJ No
Type of Wastewater System** Zs%xf. 60 cae~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
lzC?CSI'L(f 1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 166 0 gallons Exact length of each trench 0 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: 7-7- t• 1 inches (Maximum soil cover shall not exceed
Pump Requirements: ft. TDH vs.
Conditions:
Aggregate Depth: inches above pipe
Z. 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 speci inations 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 A Date: 6 ZZ..
Construction Authorization Expiration Date: --Z z.-
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
GPM inches below pipe
HTE# S - Z688 Z- Permit # ZZ,
Harnett Coitnty Department of Public Health
Site Sketch
PROPERTY LOCATON: 7~;ZA(19 / ye.c
ISSUED TO: r¢ ~7~-✓c~i~ l.i r,.k SUBDIVISION LOT # 5
Authorized State Age Date: ('ZZ
t ZZ~
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Department of Emimmmcnk Health and Natural Resources Shed:
Division of Errvironmenta! Health
On-Site Wastewater Section Property ID:
Lot 0:
SOIIISTTE EVALUATION File M:
for Ott-SITE WASTEWATER SYSTEM; Code:
Owner. Applicant:
Address:
Date Evaluated
.
~w Pacaity:'''~
:
Design Flow (.1949):,~,/ a
Pmperty Size:
Locad.ok o(Sit.
Property Recorded:
Watet 9upp , :
0-Public ❑ lndividual ❑
`
Well
Spring
❑
Evaluadoa Method:
Q"
Anget Boring ❑ Pit
cut.
Type of Wu twater.
Q Sewage ❑ Industrial Pmceu
Mixed
P
R
O
F
1
1940
Soa. MORPHOLOGY
OTHER
.
~ Haizoe
.1941
P
ROMO FAMOR,
E Poe1
tled Depth
9 Slops 9<,
1941 .1941
Str
l
.194'
Sail
-
z:
043
uctura
Consistence
Te>d~ Miauelo
Wetnad
Color
40d
IN.
6 e `z'~
❑ Other
19 .1941 home
L Re* CIM _
Hods. ALTAR
=4 ..If.
31
F. FE14
L Z%
y
A
. 1~-^~ s~- c r ~ y Sri,-. e. ~ ~1 •~i ~ ~ ~
Other Factors (.1946-
Site C1mMcadou (.1948-
Evaluated By
Others Presentt.