IPACHTE#-o2 Harnett County Department of Public Health
Improvement Permit 26933
A building permit cannot be issued with only an Improvement Permit
/tom ~t PROPERTY LOCATION: a r 0 5 -{1 red.
ISSUED TO: / / ®d k k- K ✓4 S-' /d v~ SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION 0
Type of Structure: F X JJ-/: n-, 5-FZ
Proposed Wastewater System Type: >Lrk ,fledvcf= f !fite~
Projected Daily Flow: wc1ck: ny i GPD
Number of bedrooms: a. Number of Occupants: max
Basement ❑Yes ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes L~J No ❑-Max be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LEI Public ❑ Well Distance from well J-C13 feet
Permit conditions:
Permit valid for:
2-rive years
❑ No expiration
Authorized State Agent:: 11-, ('lf/ Date: 17 1 2-(3 f Z SEE ATTACHED SITE SKETCH
The issuance of this permit by th eartment 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
(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 T0: -dow PROPERTY LOCATION: ~ >4- A)-
SUBDIVISION LOT #
Facility Type: C%K %I ❑ New ED/ Expansion El Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ar 7- d2-4u4'-,A rr (Initial) Wastewater Flow: «4k:y 1 Zc1 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size /600 gallons Exact length of each trench /00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. -..d Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: 12- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 app/ication. / 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 Agent: t'~~ Date: 71; al%Z
Construction Authorization Expiration Date: a2~1
HTE# /a 6 CQ Permit # a ~9 .77
Site Sketch
/ PROPERTY LOCATON:
ISSUED T0: cs`r~ ((c~4 ~tir=nslaW SUBDIVISION LOT #
Authorized State Agent: Date:
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