IPAC RRHTE# �28�37 �ie Harnett County Department of Public health
Improvement Permit 26926
A building permit cannot be issued with only an Improvement Permit
��----- PROPERTY LOCATION: Cv 'Rr—II �P-d.
ISSUED T0: gx' n5 SUBDIVISION LOT #
NEW K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: lei Q4 x: X
Proposed Wastewater System Type: te -'a I Xf ��.
Projected Daily Flow: 2G O GPD
Number of bedrooms: .9 Number of Occupants: 1° max
Basement ❑Yes, ^ VIN o
Pump Required: i es ❑ No ❑ be required based on final location and elevations of facilities
Type of Water Supply: El Community 5 MM Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: - 11-. Date: c 2- s EE ATTACHED SITE SKETCH
The issuance of this permit by e 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 he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: '' \V. -, b- Y\ 1'., t'j;.1 PROPERTY LOCATION: C t1tD�'ei1 SUBDIVISION LOT T LOT #
Facility Type: I" t `� 7r X 7 ( Fv6pw ❑ Expansion ❑ Repair
Basement? ❑ Yes E4,' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** �� �� ���� �e��c.,�:�h �,if y/e.r- (Initial) Wastewater Flow: 3 C) GPD
(See note below, if applicable P �p _
7v NP i- f % /eed -) fy1 ti (Repair)
Installation Requirements /Conditions Number of trenches �D
Septic Tank Size vD 0 gallons Exact length of each trench -5-0 feet
Pump Tank Size /000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: / e - Z G inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 6-6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specifed 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
74311 0 <�
Authorized State Agent: Date: v 1112—
ore- / %
Construction Authorization Expiration Date: /v °/7 1 °�7 7`% ` �f�
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