IPAC RHTE# 0) R Harnett County Department of Public Health
Improvement Permit 27056
A building permit cannot be issued with only an Improvement Pe(~it
PROPERTY LOCATION: GtG~ ~C N Y,d
ISSUED TO: C-:~-N g ~t-SAC, ~v ¢,LL SUBDIVISION LOT #
NEWX REPAIR ❑ E`;,NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
J
Type of Structure: `J'~FQ 64.4: A IC
Proposed Wastewater System Type: aSIo Pr--SAuGsa w SEcrl
Projected Daily Flow: C'orJ O GPD
Number of bedrooms: 5 Number of Occupants: ~O max
Basement ❑Yes X No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well LOO feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1v5 Date: I 1 12 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in na way guarantees the issua c o er permits. The permit holder is resp nsible 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 mit 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: PROPERTY LOCATION: ~~-OFF\+.) RA
SUBDIVISION LOT #
Facility Type: S~ O ~-\Z-CS -7 tq K New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ~XNo
Type of Wastewater System** a` ly Qt-s3ycyt~ o N S'~lz's !-N (Initial) Wastewater Flow: COO
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size 13b0 gallons Exact length of each trench C10 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:_ inches
Maximum Trench Depth of: a. 14 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
Conditions:
Aggregate Depth:
GPD
inches below pipe
inches above pipe
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 specired is different from the type specired on the application, / accept the specifications of this permit.
Owner/Legal Represents 1 ure: Date:
This Construction Authorization is subject to revocation t i n, 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 a complia ith the o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 94 Date:
Constructf Authorization Expiration Date:
HTE# Permit # 2~` 094
Harnett County Department of ' blic, salt
Site keteb
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON
SUBDIVISION
LOT # r.) -
Date: 571961Y).