IPAC RRHTE# a_,r abg3 sK R ar►.Ctt County Department of Public ►iealth
Improvement Permit 26945
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ts-4
ISSUED TO: l ~t C d S ~ cs c~ . c~ SUBDIVISION T .n v., e~. 1&e LOT # `q
NEW Kr REPAIR ❑ EXPANSION ❑ r Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: b 4 X02 X15-v
Proposed Wastewater System Type:
Projected Daily Flow: 3 G GPD
Number of bedrooms: 3 Number of Occupants: C, max
Basement ❑Yes ER/N'0
Pump Required: ❑Yes E21o ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. El~_Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: v~- rH Date: 6 Z 0//Y/z~ZSEE ATTACHED SITE SKETCH
The issuance of this permit by X e Health Department in no way guarantees the issuance of other permits. The permit holder iresponsible 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, .1 9S6, .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: Coal' ~,-%a PROPERTY LOCATION: 02.'2 y.)e.r'~
SUBDIVISION LOT # ZVY
Facility Type: , 5-F b P~' New ❑ Expansion ❑ Repair
Basement? ❑ Yes 17rNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**y (Initial) Wastewater Flow: 3b 0 GPD
(See note below, if applicable
p air ✓~c~u~,cn! r*r Repair)
Installation Requirements/Conditions Number of trenches -0' :1-
Septic Tank Size /000 gallons Exact length of each trench _49-e aqo feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 1A 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: cf oa. C inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPT[( 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/icatik / accept the speciTcations 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 complian 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: c.; . Date: I ! 9 "
Construction Authorization Expiration Date: 6 li 9
HTE # 8 V 6 1'5-4
Permit # R `t qS,
Harnett County Departineiit of Public Health
Site Sketeli
PROPERTY LOCATON: oZ-7? k,.3c!'
ISSUED TO: A Con F* c~ Oe'O SUBDIVISION 7:`~t5 e~ ,Qo~~~e LOT # /Y
Authorized State Agent: thr Date: V
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