IPAC RHTE# Zalg HarneL( County Department of Public health
Improvement Permit 26843
® A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: Zn SUBDIVISION S . LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5
Proposed Wastewater System Type: &s;? ca l
Projected Daily Flow: _. D GPD
Number of bedrooms: N 3 Number of Occupants: 9. (p max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ltl MMaa ' t required based on final location and elevations of facilities /
Type of Water Supply: F-1 Community Z Public El Well Distance from well feet Permit valid for: 2r Five years
Permit conditions: ❑ No expiration
Authorized State Age , 'eon Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by tt 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
(Required 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 T0: 1< ,t$r } .a PROPERTY LOCATION: 9ki Cr
SUBDIVISION 6 ?J7 LOT #
Facility Type: New El Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? El Yes fa'Na L
Type of Wastewater System ** 1 '544&- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
1 -60 (Repair)
Installation Requirements /Conditions Number of trenches Z_
Septic Tank Size gallons Exact length of each trench AP 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: Z— inches above pipe
Conditions: /Z_ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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. SEE ATTACHED SITE SKETCH
Authorized State
Construction Authorization Expiration —
Date: r-� > gi7
HTE# %Z' — Z76'1 Permit # 2&843
Harnett County Department of Public Health
Site Sketch
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