IPAC RHTE# 4 G-Q., Harnett County Department of Public health
Improvement Permit 26960
A building permit cannot be issued with only an Improvement Permit
~'P~ AG 1 A U~~ W PROPERTY LOCATION: --T1 tgn CU(LCa~nt
ISSUED TO: mac.- SUBDIVISION LOT #
NEW, REPAIR ❑ JANSION ❑
Type of Structure: 5V0 (IC 7`sG .
Proposed Wastewater System Type: (Z~ci "-4G s~ o a AL-
Projected Daily Flow: L;~ $b GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes -?S No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 d® feet Permit valid for: X Five years
Permit conditions: ~ - ❑ No expiration
Authorized State Agent:: Date: Ya SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan her permits. The permit hold 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 Improve me 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 condition of th' 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: 15 PROPERTY LOCATION: S }"v" CuQ 4NS *tiP
SUBDIVISION LOT #
Facility Type: S FQ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System**
(See note below, if applicable
CONV
b N &A1,
Co, vr y6,.rs > 0 N '\I- (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size 1(n)<:) 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1 a 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Sib -30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: 4'?Q GPD
Trench Spacing: Feet on Center
Soil Cover: Fs ° l~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. 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 speciled is different from the type specified on the application. / accept the speciTcations of this permit.
Owner/Legal Represe Si nature: Date:
This Construction Authorization is subject to revo ' if a si 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 subj&`te`ompliance the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ar-)A5 Date: 31S"
~ c~ ~ F, y~ Con ction Authorization Expiration Date: 3
HTE# 1~~ 5" Permit #
Site S ete1
PROPERTY LOCATON: -71 n Lugs 1 s, R.C>
- SUBDIVISION LOT #
rate: I~t1a
s,,
4*1
550 '