IPAC RHTE #O7 Harnett County Department of Public Health
Improvement Permit 27227
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ;6a f _
ISSUED TO ®Si/ SUBDIVISION / T LOT #
NEW REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5-%-
Projected Daily Flow: .,0 GPD
Number of bedrooms: �.3 Number of Occupants: _ max
Basement ❑Yes E o ,,��
Pump Required: ❑Yes El No 01ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 1-4-five years
Permit conditions: ❑ No expiration
Authorized State Age `Z°-
Date: l5`_1 L SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 a 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 TO: PROPERTY LOCATION: /-
� SUBDIVISION ,� t4� LOT #
Facility Type: 0 New �❑J expansion ❑ Repair
Basement? ❑ Yes Q No Basement Fixtures? ❑ Yes o
Type of Wastewater System* �� °lam / �k,;t ,t, (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size —,Z0 e,0 gallons Exact length of each trench &b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z V inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: c5
0
Trench Spacing: / Feet on Center
Soil Cover: t7 _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
_ inches below pipe
Aggregate Depth: Z' inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST Br ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
J121 inches total
* *If applicable: /understand the system type speciped is different from the type speciped on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, slat, or the intended use changes. The Construction Authorization shall not he transferred when there is a rhanoe in awnarchin of rho city Thie
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 Ag ° Date: / ° �' i 2
Construction Authorization Expiration Date: t Z -s--' ---
HTE# C ,7 — 5—%- 1614 6 1'2
Permit # 2-7 7 Z %
arnett County Department of Public Health
Site siketch
PROPERTY LOCATON:_�S�S"�5'
ISSUED TO: ji' = SUBDIVISION _ i P7— LOT # 34
Authorized State Age Date: °f Z"
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