IPACHTE# fl-t - 4 S- Harnett County Department of Public Health
Improvement Permit 26517
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LO(ATION: Jg03 6 t A
ISSUED TO•`~ t ai` F 6-f- 1%) C- SUBDIVISION Ca<52,% LOT # _
NEW CZI REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 3 iez~5. GPD
Number of bedrooms: .3 :Zayybe f Occupants: max
Basement ❑Yes ❑2 No
Pump Required: ❑Yes ❑ No 2' required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Z rive years
❑ No expiration
Authorized State Date: /&-Z y ° ti SEE ATTACHED SITE SKETCH
The issuance of this permit b A 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: f 6 /S9 Llf =t- PROPERTY LOCATION: R i'f& C
SUBDIVISION PLeo~P~ LOT #
Facility Type: J b Z/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑"No Basement Fixtures? ❑ Yes 2l'o,
Type of Wastewater System** G (Initial) Wastewater Flow: 4;:, GPD
(See note below, if applicable
1-a
In-V (Repair)
Installation Requirements/Conditions Number of trenches -3
Septic Tank Size /000 gallons Exact length of each trench D d feet
Pump Tank Size itcs 60 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: pry" 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: C.~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
P inches below pipe
7- 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: I understand the system type specified is different from the type specified on the application. l accept the speciTcations 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 nwnerchin of the cite Thic
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 Ag Date: - -r(
U Construction Authorization Expiration Date: 2,4 - /(e-
H T E # 11 ° S 5 Permit # 2415-1-7
County Department of "ublic e th
Site Sketch
_ PROPERTY LOCATON:
ISSUED TO: f t (-WE4 77 1 its ,s N(SUBDIVISION (er ' -it
Authorized State Age Date:
TDI~ G1 14t
7~y ;--0 /J?
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Department of Emjimnmenk Health and Natural Resources Sheet:
Division of Environmental Health
On-Site Wastewater Section Property
Lot
S0IIJSIT9 EVALUATION File l1:
Coda:
for ON-SITE WASTRWATERSYSTEM
Owner. Applicant;
Address: Data Evaluated: X434( Z3-
Proposed Facer. Design Flow 1949Y. Prapertp Size:
LocatlolE of site: Property itecorded:
Water Supptp; (fPubl1a ❑ Indivi ell ❑ Spring ❑ Other
Evaluadon Method; [A n---
Type of Wastewater uger g ❑ Sewage ❑ industLj rig cut.
rial Process Mixed
P
R
a
P SOIL MORPHOLOGY .1940 t LAUI .1941 PR DFU FACTORS
L [.anduapr Hoeizaet 194'
N 81o~pi % DqA .1941 .1941 .Sail % 141
struanmd canddenaa Wetneaal 195
ToxNpt muWala - sou 3e~
&-s- 51_
2 L J a- If t>
C 3f - ~j
.1944 PiroN®
Rc* c1m
Hams. a LTAit'
3
0 L-5
.;,t,vgi~U
n,-
L/
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31
01) L
(J 0-
S am
Rapalr Syatem Other Factor, (
19Wbk
Avadlable S ace
,1941
.
site Classification (.1948X'74
S alma a
Evahmted By:
Site LIAR
Others Preme
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