IPAC RHTE# 12 -5 =z131s/Z Harnett County Department of Public Health
Improvement Permit 27204
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION ::%;�Kytv Y.C,,,L7, , Mb
ISSUED TTO/ ' ` L— SUBDIVISION LOT #
NEW f? REP R ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:' e ss�t
Proposed Wastewater Syste*/
Projected Daily Flow: Z4(& GPD
Number of bedrooms: Z Number of Occupants: V max
Basement ❑Yes No ,/
Pump Required: ❑Yes ❑ No 2eMa�e required bb don final location and elevations of facilities
Type of Water Supply: ❑ Community I!1 Public LJ Well Distance from well 960 feet
Permit conditions:
Permit valid for: ff Five years
❑ No expiration
Authorized State Age ' Date: �-- Z -7- 11.- SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department 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
Reauired 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: - / PROPERTY LOCATION: 5711 to It edti �� a2x')
SUBDIVISION LOT # I
Facility Type: ' v I0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes Eif No BaserRent Fixtures? ❑ Yes C(No
Type of Wastewater System ** Z3% g& rZ,3 �h5 /-r,--. (Initial) Wastewater Flow: 2 0 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches 7-
Septic Tank Size / 0 a-c� gallons Exact length of each trench oas 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of. ZY -)IA_ inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover:
(Maximum soil cover shall not exceed
36" above the trench bottom)
_4 inches below pipe
Aggregate Depth: 2 inches above pipe
12- 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 lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownershio 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 Age ""—ZZ Date: l~ ✓% L-
Construction Authorization Expiration Date: ✓ 7�7-
HTE # Z � 341 8/Z Permit # Z 7 2-6�f
Harnett County Department ()f 1)111)jj(� He(,l;ltli
Site S-k- etc h
PROPERTY LOCATON:.� Z4�� 126
ISSUED TO: 111M&� .7/-- /?"1"71L FZ-4---e— SUBDIVISION j LOT #
Authorized State Agen Date:
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