IPAC RHTE# ~ -s = 1-17671< Harnett County Department of Public Health 24419
ISSUED T0: SUBDIVISION lf-/✓I Z".We h'' LOT #
NEW REPAIR ❑ XPANSION C1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .S~
Proposed Wastewater System Type: 257- ~
Projected Daily Flow: 70 GPD
Number of bedrooms: - 3 Number of Occupants: max
Basement ❑Yes 01-0
Pump Required: OYes O No 0 Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: a - ❑ No expiration
.3 TvB9~~S Dv T'
Authorized State Agent - J* Date: 1-10-08 SEE ATTACHED SFfE SRETGI
The issuance of this permi Health Depamnertt 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 lunges. The Improvement Permit shall not be affected by a change in ownership ol the site. This
permit is subject to compliance with dre 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 .1958, .1952, .1954, .1955, .1956, .1957, AM. and .1959 are incorporated by references into this permit and shall be net Systems shall be
installed in accordance with the attached stem layout
ISSUED T0: _,,Jia~-t~li`~~yv PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: fa' New ~O/"xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes lO No
Type of Wastewater System" Z.e fl/~jt r°~f 2&>3 S=-* E&: N►itial) Wastewater flow. )&0 GPD
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /A k. S"-
(See note below, if applicable O)
wlwbeiz1 = s (Repair)
III ww" Regnnattctr<s/condi6ons
Septic Tank Size /d06 gallons
Pump Tank Size gallons
Pump Requirements: ft TON vs.
Exact length of eath~ h /70 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of Z/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing:_ Feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions:
G inches below pipe
Aggregate Depth: Z inches above pipe
17- inches total
**If a lib • / undeatand the rruem type specked it diNermt fmm the type rpeclfled on the application. / accept the tpecilcations of thin pemrit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation d 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 ATFAgIED SITE SIIET[N
Authorized State gent G Date: /--/y - e t3
Construction Authorizatjon Expiration Date: /-~y /3
HTE# /77-0 7// Permit # -2 V V I
Harnett County Iepc1I1n1Pnt of Public Health
Site Sketch
PROPERTY LOCATON: S-3
ISSUED TO: SUBDIVISION LOT # Z
Authorized State Ag Date: /-/0-09
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