IPAC RHTE# ��-®� 1 Harnett County Department of Public wealth
Improvement Permit 27675
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: e,o V �9 Er2 'Qq—
ISSUED T0: u i i QC�L� �°v�- SUBDIVISION Qmrsr�—,LOT # 502,
NEW REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: � L4 t,
Proposed Wastewater S tem Ty e: 21' ,1®
Projected Daily Flow GPD G,00
Number of bedrooms: Number of Occupants: i d max
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 11bG feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 5 Date: '\ i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i other permits. The permit hold is respon ible 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 Improverne'-fis 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: :�s Q? ca 1 "0 C--_2-, ) tJ C- PROPERTY LOCATION: IF:) 0 U 1._D E2
SUBDIVISION 1- MZYv G �, \�,� Sysx r� i LOT # 1��
Facility Type: £" QG '� �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes ':F�K No Basemw Fixtures? ❑ Yes X No
Type of Wastewater System** Q.G_0f 11 t--OvC-�S U 3-J 315SIs- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) C) Q
a.S c'rl v12 civ (Repair)
Installation Requirements/Conditions p Number of trenches L t
Septic Tank Size gallons Exact length of each trent—ch feet Trench Spacing: C1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: S inches
Maximum Trench Depth of: a.A3(� 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 10FT. 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 app/kation. / accept the specifications of this permit.
Owner/Lego ive Signature: Date:
ThisSz-
Construction Authorizati is ation if e 'te fiat, 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 t compliance o s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
b Date:
Authorization Expiration Date: _
a1
HTE S Permit
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION LOT# �6�-
Authorized State Agge�nt7�� �S �b L 'I l(UL:—i 0 Date: 22
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