IPAC RH T E # fL -a~ C ~ Harnett County Department of Public Health
Improvement Permit 2 6 6 3 5
A building permit cannot be issued with only an II rovement Permit p
t PROPERTY LOCATION: ~s"w~er.tI`
ISSUED TO G z,:° SUBDIVISION LOT # S~f
NEW V REPAIR ❑ EXPANSION ❑
Type of Structure: 0 b~ X7r
Proposed Wastewater System Type: f-_'!q,p {"z J'Yu ,zeuvc S.,j
Projected Daily Flow: Xt- ® GPD
Number of bedrooms: 13 Number of Occupants: max
Basement ❑Yes ~o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oes ❑ No ❑ be required b ed on final location and elevations of facilities
Type of Water Supply: El Community MaPublic Well Distance from well 67C feet
Permit conditions:
Permit valid for:
F"five years
❑ No expiration
Authorized State Agent:: Jam. ~ ~ Date: ~ 02 Wit/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the ealth Department in no way guarantees the issuance of other permitr. 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 payout.
ISSUED TO: ire PROPERTY LOCATION: ~9/
SUBDIVISION a LOT # ,
Facility Type: ~~Fp ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" A"'o sQ (Initial) Wastewater Flow: -560 GPD
(See note below, if applicable
-7
, ,1(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Z6Q C gallons Exact length of each trench 6o feet
Pump Tank Size 00 t' gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. t C _ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: ! inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: ~o~ ~.t fer mi ~t~ E'rtl,rr ~c a•, f~/ ~a~ c c~z C:^"Pf'
inches below pipe
inches above pipe
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: /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 subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall nnr ha rrandarrnd whan thoro i. , A-. i~ ti: r .t...:.. TL:.
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to thn rnnditinn< of this normit qr ATTArurn ClTC CVrTru
I
Authorized State Agent:
Date: 6' ~ 2.0"1
Construction Authorization Expiration Date: 2-~~6
HTE#
Permit # a~. 1o3J-
arnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:_
ISSUED T0: SUBDIVISION S'
LOT # 09
Authorized State Agent: Date:
ICU
.0
--C.J J -
Department of Environment, Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOUJSTTE EVALUATION
File
for ON-SITE WASTEWATEIISVSTEM
Code:
Owner. Applicant:
Address:
A
/
. Date Evaluated: ,
,1
4111/
Proposed Facility: Design Flaw (.1949):
Locadott ~ $ite: . Ftroperty Recorded:
Property Size:
.
Water Supply;
Evaluadon M: r,Auger 9-❑ hxNdual ❑ Well
ethod: Boring ❑ pg
T
e of Wast
at
❑ Spring ❑ Other
cut
yp
ew
er: Ly Sewage ❑ hs UW31 Process
P
R
O
1940 SOM MORPHOLOGY
1
t
R
.
.1941
L spa Horizon
PROFILE FaC•'TOR3
9 Pasided .194
A sbpo % 1hP) • 1941 .1941 Soil
Srueuvw Condata m wetneu
.
1443
1916
.1944 Ptoltiti
Ted Mtnanto color
7j z
;Cu
1N. 33pre
CIA"
Reatr aw .
Hods. di LTAi!
Repair SyrtM Other Factors (.I M)
Site CIm4ficadon (.194ak Pf
Evaluated Br
Others Present: C ;