IPAC RRHTE# O-`1-5-Harnett County Department of Public Health
Improvement Permit 2 7 0 8 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~i Nc.;:- ~.P
ISSUED TO: ~ON~~iALi\~.G ANC. SUBDIVISION QdAZS QC\NS LOT
NEW,, REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 FD `SL4^n 5 t'
Proposed Wastewater System Type: Q!~; e sou gii e m ~v5
Projected Daily Flow: 3Fo~0 GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑YeS No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t t 0 feet Permit valid for Five years
Permit conditions: ' ❑~o expiration
Authorized State Agent:: Date: 11-711-1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isst 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 Impro ment 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, .1951, .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: ND, CUN-sq'~"(n» L PROPERTY LOCATION: 6 Q~
SUBDIVISION f'N SaA5 LOT # c~ -5_
Facility Type: SFDX New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** 2•S /o (Rzovc,S) dN -SaTCN (Initial) Wastewater Flow: 34,0 GPD
(See note below, if applicable
L_V' (Repair)
Installation Requirements/Conditions Number of trenches %
Septic Tank Size 10 O(0 gallons Exact length of each trench ck1 Q 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: 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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. /accept the specifcationf of this permit.
Owner/Legal Representative ure: Date:
This Construction Authorization is subject to revocatio a sit 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 su6jt~'lcompliance th a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: n
Cons tion Authorization Expiration Date:
HTE# Q -5- 1-7LA-M 9-
Permit # 1--) 08 C
ill-liett (Vomit`- Department of ll~tblic Health
Site Sketch
e3LN"
ISSUED TO:
Authorized State Agent:
~41
PROPERTY LOCATON: 6er4
- SUBDIVISION ?nTCd rAs ~',p LOT # 5
Date: ~ ~
r V