IPAC RHTE# 1- - 311) 5 Harnett County Department of Publ'IL Health
Imarovement Permit 27445
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: gUC.klt'�m�11�,N
ISSUED TO: f__0a-C� 1�_ S c.,M X -V SQ Mf\ 4 SUBDIVISION "' LOT #
NEWX REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S �0
Proposed Wastewater Sy em Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants max
Basement ❑Yes 'No
Pump Required: ❑Yes �P<No ❑ May be required based on final location and elevations of facilities
Type of Water Sup&IY ❑l Community Public ❑ Well Distance from well t 0® feet Permit valid for: Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent::' bS Date: 511 113 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran esteissd ermits. a permit h>s esponsible 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 Im rovement its affeeted 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: E- SCS &-0Czi".ow PROPERTY LOCATION:
( SUBDIVISION LOT # 1 -
Facility Type: 5�S? l�brx%`7[ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes o
Type of Wastewater System* c�,5°Ja B2t;AvG�lc1 q s i G{Y1 (Initial) Wastewater Flow: GPD
(See note below, if applicableN)
01� e. uC;S 10 IJ "YS-_�Gr, (Repair)
Installation Requirements/Conditions Number of trenches � 4
Septic Tank Size t O gallons Exact length of each trench rte® feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: N - (b inches
Maximum Trench Depth of: 3CZ5°-1% 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 ]OFT. 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 specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is3obk4_to_revocation it the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a chanoe in nwnerthin of the tits This
Construction Authorization iss j ct to compHa�ce wi ro " ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
QE:r\ S
Date: 13
ction Authorization Expiration Date: 1
SEE ATTACHED SITE SKETCH
Qv 1s Go ))J6J5
HTE # Permit # 4-5
H(arnett County Department cif llublic He,,rdth
Site sketch
PROPERTY LOCATON: QV
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent: Date:
cvN q §,Tj
M
15 4,*