IPAC RHTE #_ 2 - - 0 '�>3Jle Harnett County Department of Public Health
Improvement Permit 27360
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:—'$-Y2 /'-/L/ 7 45 6iO3 IZ-b
ISSUED TO SUBDIVISION LOT #
NEW E�' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —3 F=' b
Proposed Wastewater System Type:
Projected Daily Flow: c% 80 GPD
Number of bedrooms: L— Number of Occupants: max
Basement ❑Yes Q"No
Pump Required: ❑Yes ❑ No 2 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: C'Fve years
Permit conditions: ❑ No expiration
Authorized State Agents Date: _ _ 1 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 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:
PROPERTY LOCATION:
Facility Type:
Basement? ❑
I�'I New
❑ Yes
SUBDIVISIONaa,%c
Expansion
LJ No
-� Pmt LOT #
Repair
Yes Ef No
Basement Fixtures?
Type of Wastewater System ** C.L -Z.z (Initial) Wastewater Flow: Vdd GPD
(See note below, if applicable ❑)
Installation Requirements /Conditions Number of trenches l
Septic Tank Size IZ&O gallons Exact length of each trench %5 -6 feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: nches
Maximum Trench Depth of., ?`/ -)1 �S 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 v inches below pipe
Conditions: Aggregate Depth: — inches above pipe
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 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 m 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 Date: ,3' - r 75
Construction Authorization Expiration Date: 3 • i Ya
HTE#I'Z-t',-3Oc,3-5 Permit # 2 7.3 ,;, c)
H,Irll'll('tt County Department of Miblic He(-dth
Site Sketch
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