IPAC - VOID THIS PERMIT- NEW IPAC TO BE ISSUEDHTE #,�� -s z 7� � Harnett County Department of Public Health
Imurovement Permit 27205
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -L /'76 2
ISSUED T0: 4) � SUBDIVISION LOT #
NEW EK R AIR ❑ EXPANSION 171 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: boe'---w
Proposed Wastewater System Type: Z5'1�
Projected Daily Flow: �v5 0 GPD
Number of bedrooms: t Number of Occupants: max
Basement ❑Yes 173 No
Pump Required: ❑Yes ❑ No ZyMaes required based on final location and elevations of facilities
Type of Water Supply:
El L�f Public ❑ Well Distance from well feet Permit valid for: Lsf five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: 7— SEE ATTACHED SITE SKETCH
The issuance of this permit by H Ith 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 i 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 Permio
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: 4:' PROPERTY LOCATION:r5),r-r7a5 j
SUBDIVISION LOT # f
Facility Type: 5' k) 14 2/New ❑ Expansion ❑ Repair
Basement? ❑ Yes I?r No Basement Fixtures? ❑ Yes 210
Type of Wastewater System ** 05-w (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
15% A skZ (Repair)
Installation Requirements /Conditions Number of renches q
Septic Tank Size /2-4-0 gallons Exact length of each trench AV feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: w inches
Maximum Trench Depth of: Zq"' riches (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 _4 inches below pipe
Aggregate Depth: 2 inches above pipe
Conditions: t Z— inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. 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 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 changes. The Construction Authorization shall not be transferred when there is a change 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 Jtt All IAIHtV Mit MIL11
Authorized State nt: Z Date: °— 7LR — i z,
Construction Authorization Expiration Date: 15 -- Ze —
HTE # / Z° 2�) -7 8'? Permit # — 2- -7 Z, 0 5-
Marnett County Dep(aillne"t of P"'blicy He(l,ltll
Site slietch
PROPERTY LOCATON:Vs-12,01 NV4S.A2
ISSUED TO: SUBDIVISION LOT #
Authorized State Ag Date: Z-
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SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take US-421 to NC 27. Follow NC 27 for approx. 9.8 miles and turn
right on Hodges Chapel Road. Follow Hodges Chapel Road for approx. 3.2 miles and turn left on Crownview Lane. Follow Crownview
Lane to Cul-de-sac. Take private road easement from Cul-de-sac. Property is the first lot an the left after crossing culvert in ditch.
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plarissutirnittwi.
I hereby state that foregoing stateme is are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
Sigdofq, of 6_W'f`n`oror__6Ww e_r`s Agent Date
***It is the owneriapplicants responsibility to provide the county with any applicable information about the subject property, Including but not limited
to: boundary Information, house location, underground or overhead easements, etc. The county or Its employees are not responsible for any
incorrect or missing Information that Is contained within these applications."*
"This application expires 6 months from the Initial date if permits have not been Issued-
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