IPAC REPAIRHTE# &e.fu. r Harnett County Department of Public Health
Improvement Permit 27346
A building permit cannot be issued with only an Improvement Permit
ii__ PROPERTY LOCATION: `7,3"— w�f�ie:+a1 /v? ,/I Pond rE'ot
ISSUED T0: e D car /� o� fe SUBDIVISION LOT # 7
NEW ❑ REPAIR ef EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow. 3(a GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes P'No
Pump Required: ❑Yes ETNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply. ❑ Community ❑ Public 2"'Well Distance from well Z t3 4 feet Permit valid for T"l ive years
Permit conditions: ❑ No expiration
g Z/ZZ SEE ATTACHED SITE SKETCH
Authorized State Agent: _ �-1, . W a-:., _ ,-,- -I Date: _ -Za1
The issuance of this permit by the Health De ement in no way guarantees th issuance of other permits. The permit holder i 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, .1957, .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. p
ISSUED TO: �t e jo r k 4o. re PROPERTY LOCATION: _a 17s' >, �e.ar A :// X.-f •ed
SUBDIVISION LOT # '7
Facility Type: ❑ New ❑ Expansion Cpl'" Repair
Basement? ❑ Yes Lei" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** _
(See note below, if applicable ❑)
(Initial) Wastewater Flow: .760 GPD
CZJ_7. /teAu 4 -. o_ &ZA,. (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size /M0 gallons Exact length of each trench _ X300 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (a - /Z inches
Maximum Trench Depth of. 1cl -L 'f inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: T�e e�(�s�* s, Se� C 4`oAt 117c 6E ur' --,J inches total
-FAa f ,Sad new f1.11..AL
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: / understand the system trpe specified is different from the type specified on the applicatiom l accept the spedfications or 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. Thu
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
C
Authorized State Agent: F'l1f, Date: V
Construction Authorization Expiration Date: 2c.16
HTE# Ae;.► ,--
Permit # oQ ? yt,
Harnett County Department of I'Vblic Health
Site Sketch
PROPERTY LOCATON: Al
ISSUED T0: 1 gore i�do�e SUBDIVISION LOT # 7_
Authorized State Agent: �i Date: /Gib
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