IPAC RRATE ,�.35-83-ql/z Harnett County Department of Public Health 28493
Wrovement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION��( S t:)1 P S s 7t P� /'.- 21>
ISSUED T0: �' C d 52G SUBDIVISION , 7' C,s LOT # _�6_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2 U O
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: / Q max
Basement ❑Yes, No
Pump Required: El es ❑ No ❑ Ma a required based on final location and elevations of facilities 0 -
Type of Water Supply: El Community ZPublic El Well Distance from well feet Permit valid for. L�1 Five years
Permit conditions: 71 20 71 ❑ No expiration
Authorized State Date: U' 7�- f �� SEE ATTACHED SITE SKETCH
The issuance of this p i e ealth Department in no way gu rantees 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 i t e 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: ,yKr- L.. ec- PROPERTY LOCATION: -51L /-769 61Z)
,/ SUBDIVISION 7_ ! �r� ��5 LOT # 10
Facility Type: Q New ❑ Expansion El Repair
Basement? 11 Yes No Basement Fixtures? El Yes P INo
Type of Wastewater System** f UC -7 , ._ (Initial) Wastewater Flow: &Oc> GPD
(See note below, if applicable ❑) r
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 7-00 gallons Exact length of each trench O feet
Pump Tank Size 0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZA-"? <H inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
0
Trench Spacing: r Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: z inches above pipe
77-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PAT OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. / 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 chance in ownershia of the site. This
Construction Authorization is subject to compliance with the
Authorized State
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: �' ZJ- -x Y
Construction Authorization Expiration Date: &--Z.& - �o
HTE # /fir 5 3-59-5!f t Permit # 71 9 Y15
Harnett County ]Department of Public Health
Site Sketch
,r PROPERTY LOCATON: 5 ?&!l ! o i l3 5 � Ag .2/S
ISSUED TO: V r �d�Cr (��r_ SUBDIVISION � , C,4,0 s ,a LOT # fC->
Authorized State E Date:
Ell
7-1