IPAC RHTE# -�-��5r-6 /z Harnett County Department of Public Health 28288
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
l PROPERTY LOCATION: � Cif'ed
ISSUED TO- AAL SUBDIVISION � �- e r d e LOT # '2��
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5- D (7c� 1CC9G
Proposed Wastewater System Type: o .r.f , ked�c4
Projected Daily Flow: y8 4 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes Lilo
Pump Required: ❑Yes 210 Elbe required based on final location and elevations of facilities
Type of Water Supply: El Community
Community Public ❑ Well Distance from well feet Permit valid for: 2—rive years
Permit conditions: ❑ No expiration
Authorized State Agent:: 41f!;;� tf w c. - X", V Date: S'6�zeCrr' SEE ATTACHED SITE SKETCH
The issuance of this permit by the HealthDepartment 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 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.
ISSUED T0: PROPERTY LOCATION:
SUBDIVISION /`moi ct�e«-/� r LOT # VC
Facility Type: �� G) 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" pzf—?�. XC 4 Q 1� -cam, fS/l fe^- (Initial) Wastewater Flow: V e 0 GPD
(See note below, if applicable ❑) p �
�c.o,Mo -f;-e; 02.1` (`,�e� uc.'�-'•e �fJ'�-,� (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank SizeQ� a 0 gallons Exact length of each trench a. rQ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /8'a 0 inches
(Trench bottoms shall be level to +/ 1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: i Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PARrOF 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: /underhand the system type specired /s different from the type specified on the app/ication. / 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
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Construction Authorization is subject to complia 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 Agent:L�/�y /`�,�w® ���c� Date:
Construction Authorization Expiration Date: -24;Ld
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SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: LOT
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INITIAL SYSTEM: APPROVED 25°r RECUCTION REPAIRPe-v
BENCHMARK:;. 1'
NO. BEDROOMS: C/
LINE FLAG COLOR ELEVATION
LOCATIONDISTRIBUTION
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TYPICAL PROFILE
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GRADING,THERE SHALL BE NO
CUTTING LOGGING
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