IPACHTE#sD--s- ,3~4%00~ Harnett County Department of Public Health
Improvement Permit 26961
A building permit cannot be issued with only an Improvement Permi
PROPERTY LOCATION: `TNjIL-c.1~l
ISSUED T0: SUBDIVISION K.Zvvst 't-)
'-Staor~ LOT #
NEW ❑ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F. 'F-0 yoyr xhv
Proposed Wastewater System Type: G--,A ~s-, ~.i G
Projected Daily Flow: 3 ~ ® GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ><Yes
Pump Require'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public XI Well Distance from well 10 b feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ~ r 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
(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: Y-.Ey l r4 ' ~E~ey 1 1 %-}omp'5 PROPERTY LOCATION: _7U(t--A ] kPI'5 ~
Facility Type: 5C-'9 ( lbyct~ ❑ New
Basement? 'f5 Yes ❑ No Basement Fixtures? ❑ Yes
Type of Wastewater System**
(See note below, if applicable
SUBDIVISION KV)N ~iaUC~S LOT #
❑ Expansion ❑ Repair
No
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: f\ rJ
S Az_-a7 Fo e
.-S 0 r, G cJy 5 : Gin MI 11--Z.. g
(Initial) Wastewater Flow: GPD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
i~
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: l 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 Autionza to revocation 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 co 'ante rik` viva f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date:
Construct( Authorization Expiration Date: q