IPAC RRHTE# 1~«~- Harnett County Department of Public Health
Improvement Permit 26550
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 64--i 7 I ~•-KC
ISSUED 'r9.!-- c("( G h4 a 1 SUBDIVISION LOT # /4
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: yr - / r3a+t~, IZ/3 w
Proposed Wastewater System Typ : 1 4-e) 2`~6241Jt3~c
Projected Daily Flow: Z. q o PD
Number of bedrooms: 2- Number of Occupants: max
Basement ❑Yes C~ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: 3Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ZFive years
❑ No expiration
Authorized State Vent: ~ Date: It -fY✓- SEE ATTACHED SITE SKETCH
The issuance of this perms t 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 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.
(See note below, if applicable °
lc-- iZ,20cy ~ ,fie . epair)
Installation Requirements/Conditions Number of renches Z
Septic Tank Size t ~ e 0 gallons Exact length of each trench 1 o feet
Pump Tank Size /000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2-' 1 " inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
49 inches below pipe
Z inches above pipe
Z inches total
WATER LINES (IN(LUDING 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. l 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 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
Authorized State A nt: 1Date: /C-f e'/i
Construction Authorization Expiration Date:
HTE# ~ °'5-- Z5-5281-- Permit # 2&575-r,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:e PC t?t zr CAtrue-r i I Rb
ISSUED TO: j D 0h,04J,,L114g SUBDIVISION LOT # of-
Authorized State Age Date:
2-0
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