IPACHTE# Harnett %,ounty Department of Public Health
Improvement Permit 2 6 4 4 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:,CJgY f a44- r.4
I go
ISSUED TO- 0-5 %A 511,, SUBDIVISION ~ LOT #
NEW lv~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z 1t~ SZe
Projected Daily Flow: LO - GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IJ Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: El No expiration
® >t t
Authorized State Age t' Date: 5~ ® fZ5 > 6 I SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 t e 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: 4/I5 PROPERTY LOCATION:tf l i~ry _
SUBDIVISION ()LOT #
Facility Type: J E] New 1 Expansion ❑ Repair
Basement? ❑ Yes EK No Basement Fixtures? ❑ Yes El No
Type of Wastewater System** Z`52% i s (Initial) Wastewater Flow: GPD
(See note below, if applicable /
q/~-= G (Repair)
Installation Requirements/Conditions Number of trenches J
Septic Tank Size / 0PQ gallons Exact length of each trench 5-0 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: b' 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:
inches below pipe
Aggregate Depth: inches above pipe
/ `L inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 not be transferred when there is a chanee in ownershio 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 Cent Date:
4,1 1 Construction Authorization Expiration Date:
HTE#~- S ZZC-6 Permit # 2(1/ V-// 9
Harnett County Department of I-Niblie Health
Site Sketch
l PR ERTY LOCATON:%Z 1 C~
ISSUED TO: ZSUBDIVISION LOT #
Authorized State Ag Date:
A
4-0 14~~
t
i3
M 2,,
Department of Environment, Health and V and Resources Sh,
Division of Environmental Health
On-Site Wastewater Smdon Property ID:
Lot A
S®IUSITR EVALUATION File A
ror ON-mime Code:
WA.gTEWATER.$Y9TEM
Owner. Applicant;
Address:.
Date Evaluated: 7-
Proposed Facility: mow - Dedgs Flaw (.1949): 3
Pmperg► Size:
L oradoat ~ Site:
Froperty 'heCOrded:
Water 9uPPtJ+ -
110 ❑ Lldividuat ❑
u
We11
❑ spring
Evaluation Method;
Type d Wastewater
ger Boring ❑ Pit
LJ S
Celt.
ewage ❑ Industrial Pmcess
Mixed
P
R
O
F
1
SOIL MORPHOLOGY
U'17LEIt
.1940
L L
ands=" Hurizoo
.1941
PAOFfI,B FACit
Follided
qA
.1941 .1941
194'
3611
6
N 8bpa ~
Strvcyurd Candateact
wetand
.
43
9611
Taxwe Mlranto
Color
b
1,2
L
L le, Le -/o ff
❑ Other
.1936 .1944 Pro01®
3apre Re* Cim
Hodz. LTAX 3-1
w
L / Fl ~p/r~~J FfyM
y z$ 5L -c
5 B l~ z y
✓r d^ ~L
jn -Zy
e
4
vma Factors (.1946)
Sits C1auriEcadott (.1948)
Evaluated By:
Others Presentt.