IPACHTE# /4-5 - 3S-1 TS Harnett County Department of Public Health 28207
Authorized State Ag Date: I _ `2 — f SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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 t 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: 1#01 f 7 cbr- PROPERTY LOCATION: -/k3 4t�
SU ISION LOT #
Facility Type: / �� �+ El /expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No 3%O GPD
Type of Wastewater System** 2--5% R��tI _ (Initial) Wastewater Flow:
(See note below, if applicable ❑)
ZS'�oi?�c� U c s z.d--,.! (Repair)
Installation Requirements/Conditions Number of trenches I _
Septic Tank Size �— gallons Exact length of each trench I--�_ 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- Zq .— 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 �_ inches below pipe
Aggregate Depth: Z inches above pipe
/2, inches total
Conditions:
WATER LINES (INtLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
kin urn ITIPC Aimm m IN 1NITIAI OR REPAIR DRAIN FIELD AREA.
11%J IJIILIIILJ /ILLV •��.v .c. ....... .� �.----------
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thit rnnttrurtion 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
rrr ATrlrOrn r1Tr CUCTrta
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 JLL n1 IMUILM J -
Authorized State
Date:
I -- -t - r 'y -
Construction
Construction Authorization Expiration Date: / -1 -/1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:61L19 37 t3alf
ISSUED TO: ?amu �i-
1 ]
ff-e - SUBDIVISION LOT #
EXPANSION Site Improvements required prior to Construction Authorization Issuance:
NEW ❑
REPAIR ❑
Type of Structure:
1=1f-
-XProposed
ProposedWastewater System Type: �5°��►`
Projected Daily Flow:
3(0-0
GPD
Number of bedrooms:---
Number of Occupants: G- max
Basement ❑Yes
Pump Required: ❑Yes
No
❑ No
Ma a required based on final location and elevations of facilities
for:
Five
Type of Water Supply:
❑ Community
Public ❑ Well Distance from well feet Permit valid
years
❑ No expiration
Permit conditions:
Authorized State Ag Date: I _ `2 — f SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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 t 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: 1#01 f 7 cbr- PROPERTY LOCATION: -/k3 4t�
SU ISION LOT #
Facility Type: / �� �+ El /expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No 3%O GPD
Type of Wastewater System** 2--5% R��tI _ (Initial) Wastewater Flow:
(See note below, if applicable ❑)
ZS'�oi?�c� U c s z.d--,.! (Repair)
Installation Requirements/Conditions Number of trenches I _
Septic Tank Size �— gallons Exact length of each trench I--�_ 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- Zq .— 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 �_ inches below pipe
Aggregate Depth: Z inches above pipe
/2, inches total
Conditions:
WATER LINES (INtLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
kin urn ITIPC Aimm m IN 1NITIAI OR REPAIR DRAIN FIELD AREA.
11%J IJIILIIILJ /ILLV •��.v .c. ....... .� �.----------
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thit rnnttrurtion 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
rrr ATrlrOrn r1Tr CUCTrta
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 JLL n1 IMUILM J -
Authorized State
Date:
I -- -t - r 'y -
Construction
Construction Authorization Expiration Date: / -1 -/1
HTE# —3S -195 --
Permit # Z 9 Z °
Harnett County Department of Public Health
PROPERTY LOCATON: a'1143-*� 6AUtfv,. -
ISSUED TO: P AV (� 1�/ e.%{ -e ComSUBDIVISION LOT #
Authorized State ent: Date:
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