IPAC RHTE# /2-" Harnett County Department of Public Health
Improvement Permit 27219
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION ° " ijjF ' '
ISSUED T0: SUBDIVISION LOT # _
NEW PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0D h'JW
Proposed Wastewater System Type: 25c �3�'7
Projected Daily Flow: -'3L GPD
Number of bedrooms: D Number of Occupants: max
Basement ❑Yes No �/�
Pump Required: es ❑ No 2 Maae required bbod on final location and elevations of facilities
Type of Water Supply: ❑ Community LsJ Public Ltd' Well Distance from well s feet Permit valid for: Oerive years
Permit conditions: ❑ No expiration
Authorized State gent:: F Date: — 1 17— - SEE ATTACHED SITE SKETCH
The issuance of this perms y th ealth Department i�way arantees the issu ance of o�per.ihs. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocati a site plan, plat, ar the e changes. The Improvemhall 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 TO: fl z �,c= - _ PROPERTY LOCATION: S2- 6-1 /Q a" f
SUBDIVISION LOT #_
F 'I'
act sty Type:
New �❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes l]'No
Type of Wastewater System" J ax-'r'< .., -5 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
1,m' (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1506 gallons Exact length of each trench 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
Conditions:
6, inches below pipe
Aggregate Depth: 4_ inches above pipe
-7— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 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 t: Date:
Construction Authorization Expiration Date: 1 e/
')- 2 ) �; C) '17
HTE# 12 -4 ---YtZ Permit # —7 Z I c
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:ZK 70-7 tlb a;k� ile6
ISSUED TO: SUBDIVISION LOT #
Authorized State AgenCl Date: I Li —i
<��— Llf4—IV� — —
M
-ar
;e
M