IPACHTE# Jy -s =351 ,0Lt Harnett County Department of Public Health 27886
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:3< 117-Ifftd&C's -S >
ISSUED TO: �e SUBDIVISION W4-11-.5 CA ff LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 17 G rX 14
Proposed Wastewater System Type: h r-,,3
Projected Daily Flow: Q GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes LT No 2--
May Required: []Yes El No I- May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Cell Distance from well ''"d feet Permit valid for: 2r rive years
Permit conditions: ❑ No expiration
Authorized State A nt:: Date: (a -7-4 -1 SEE ATTACHED SITE SKETCH
The issuance of this permit by V(,, 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 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:
`./ , -v---a cif LC.
PROPERTY LOCATION:&4'22ffu
6 _
Facility Type:
A
2--N
ew
SUBDIVISION W iili 7-S
❑ Exoansion ❑ Renoir
dSS Ca LOT #
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Co
Type of Wastewater System ** 2S % 6! S...5 (Initial) Wastewater Flow: q`(? GPD
(See note below, if applicable ❑)
9 S f-lL.._. (Repair)
Installation Requirements /Conditions Number of trench Is Z
Septic Tank Size 17-66 gallons Exact length of each trench 2-00 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. — inches
Maximum Trench Depth of: ?9-1 IV 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
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
—� inches above pipe
inches total
* *If applicable: /understand the system type speciped is different from the type speciped 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
Authorized State A Date: (0 -2 c! -1 Y
Construction Authorization Expiration Date: (s -2K- p
HTE# jq— 5-- 33%a q Permit # 2i 8 8 (,e
Harnett County epaz tment of Public Health
Site Sketch
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