IP-OnlyHTE#O`1- & I`_NcfJ ?,R9, Harnett County Department of Public Health
Improvement Permit 26721
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: St~ECU rPN Qs*rF5 a
ISSUED T0: g4 SUBDIVISION S e-i~ct `c c,a,► Q LOT # 2k O
NEW REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5VQ ~s 2,C" 1d t avscot~.L 10azA\~, 'i~E s., Aq'LK MUs-T '6 E
Proposed Wastewater System Type: pu rcQ _`~o ~S°lO vG-~ I 0-3
Projected Daily Flow: 3 CoO GPD VE:r Q-- o 01Ft- N 0 ~St ~y G N~ 1 aY CD rasr2y+~ ►a ~
Number of bedrooms: 33" Number of Occupants: max
Basement ❑Yes XNo _T4r7_1c 'F20T, o,,,AC1 m6 SC-& I P
Pump Required:',13(Yes ❑ No ❑ May be required based on final location and elevations of facilities 5 ;GC GiN
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t O® feet Permit valid for: Five years
Permit conditions: BR,56,j 25,,,t A p cipoSP,1- ~u®cn~ w~ p ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guaran ees tte
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
i~_ Date: 1Q )'3.X I N I SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
v' t t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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:
Facility Type:
Basement? ❑ Yes ❑ No
Type of Wastewater System** _
(See note below, if applicable
PROPERTY LOCATION:
SUBDIVISION
❑ New ❑ Expansion ❑
Basement Fixtures? ❑ Yes ❑ No
Repair
LOT #
(Initial) Wastewater Flow: GPD
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size gallons
Exact length of each trench
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciTed is different from the type speciled 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 change in ownershin of the city This
Lonstrucnon 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 Agent: Date:
Construction Authorization Expiration Date:
HTE# ®-1- 5- V94L Permit # -1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ~~~EtZMAN T~E.s _pQ.
ISSUED T0: ~b1 rr Q. sor,r SUBDIVISION LOT # Q:O
Authorized State Agent: S oI, -v E11- 'Tote Date: 1cbn~}
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