IPACHTE# ~~-.5"-- a.a~ 2-8 Harnett County Department of Public Health
Improvement Permit 27122
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: k~ ✓a-
ISSUED TO: FO A/), k,- SUBDIVISION LOT # 8
NEW e REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 xy'; ' 1s fib
Proposed Wastewater System Type: _ t%tcof~ nr
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 12"'N o
Pump Required: ❑Yes C2"'No ❑ 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: 0-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 4~ - E ff Date: jr Z I Y4 z d! Z SEE ATTACHED SITE SKETCH
The issuance of this permit by t e Health apartment 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
Reouired 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: Jkg-, r PROPERTY LOCATION: `,.3k,X-1-
/ SUBDIVISION LOT # S
Facility Type: iC, rte ft~~ [;~'New ❑ Expansion ❑ Repair
Basement? ❑ Yes 12' Nb Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches C--Yuf : _L
Septic Tank Size /00 0 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
Conditions: f✓-w JcP~°` ~ ~ r~ Ott e a-~~v ~c~~.1~~~~ vn. 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/icatiom / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chance 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: ff Date: Y / //Z." 2-
Construction Authorization Expiration Date: If/ '-//Z- 7
HTE# /Z -S- R- ~6 9 z6
Harnett County
Permit # 0-- -7 /;u-
)epartment o 'Vblic Health
Site S etc
PROPERTY LOCATON: a t k
ISSUED TO: o 4A. C ~ ~ I dLe. SUBDIVISION
Authorized State Agent: //C', E
* o Id 4,-,k- 6--
~.1,.,~czc~
,
Date: ff, Y! 2-,j / 2-
,2d.
LOT #