IPAC RHTE# oHarnett County Department of Public Health
Improvement Permit 26767
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W a f t re d
ISSUED TO: -SG.vyy t"toA.ezr SUBDIVISION 1~g.r\ ~ sv, Fc"i-a-•1' LOT #
NEW l' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: )-V 15-C
Proposed Wastewater System T pe:
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: g max
Basement ❑Yes Y "No
Pump Required: ❑Yes No ❑May be required based on final location and elevations of facilities
Type of Water Supply: El Community 2, Public ❑ Well Distance from well feet Permit valid for. 0F ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~w a C' /V Date: / r4g o It SEE ATTACHED SITE SKETCH
The issuance of this permit lithe Health apartment 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
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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. r
ISSUED TO: '-5 .\r►ry PROPERTY LOCATION:
SUBDIVISION ken Z1, FICI J LOT #
Facility Type: FD Q /New
❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ es ❑ No
Type of Wastewater System** S env cf- (Initial) Wastewater Flow: y $ GPD
(See note below, if applicable ) ✓O~^"
r_
,2-~. 12,4 )[Repair)
Installation Requirements/Conditions Number of trenches -3
Septic Tank Size / C3 dc~ gallons Exact length of each trench0'--k1 -5-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: t. ' /d- inches
Maximum Trench Depth of: / 8-3y 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 inches below pipe
Aggregate Depth: .2 inches above pipe
Conditions: / 2- inches total
WATER LINES (INCLUDING IRRIGATION) MAST BE 10FT. 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 specified is diNerent 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 it 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
Kthed State Agent: c Date: !l mat!
Construction Authorization Expiration Date:
HTE# / 0 'a2 52a Permit # o~ ~--7 7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
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