IPAC RHTE#/� -� '34�3Ba,C Harnett County Department of Public Health 28592
Imarovement Permit
Authorized State G Date: 11 - ZO '/ i SEE ATTACHED SITE SKETCH
The issuance of this permit bY,e a IJp th Deparvnem in ago 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 I 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, AM, .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: P4S/-%.4 L- kn7R4:s-'J PROPERTY LOCATION:' //;rte tike, SLA
SUBDIVISION LJ A d, r 74 *..a+- LOT #
Facility Type: ��� &3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ZNo
Type of Wastewater System** $A R; }-IU-ZJ74ll ;4!s %-t'_ (Initial) Wastewater Flow: `19 U GPD
(See note below, if applicable ❑)
L11D 2�._n (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size 12-00 gallons Exact length of each trench t o J feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4 inches below pipe
Aggregate Depth: 2 inches above pipe
/L inches total
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.
**If applicable: / ondeatand the soteor type specified it different from the type dpedfed on the applicadon. / accept the Jpedhcadonr of thir permit
Owner/legal Representative Signature: Date:
This Construction Authorization it subject m 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
t.onstmction Autnonzation IS subject to compliance with the previsions of the Laws and
Rules for Sege Treatment and Disposal and to the conditions of this permit. At AI IAl11tU lilt MtIIM
Authorized State Ap t: ori /d/it-,.(..��!/ Date: / ! - Z0 - / �'
9 construction Authorization Expiration Date: t t - 2U - ) 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONO I odi Z t lay
��AA
ISSUED TO- /*/&Jj
Z
S-� SUBDIVISION WM>E ?6 ref-
LOT #
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -
i-�
Proposed Wastewater
System Ty e: ZVSZ
Projected Daily Flow:
GPD
Number of bedrooms:
Number of Occupants: max
Basement []Yes
Pump Required: []Yes ❑ No
EAK be required based on final location and elevations of facifities
Type of Water Supply:
Ela Community
Public ❑ Well Distance from well feet Permit valid for.
ErF—ive years
Permit conditions:
❑ No expiration
Authorized State G Date: 11 - ZO '/ i SEE ATTACHED SITE SKETCH
The issuance of this permit bY,e a IJp th Deparvnem in ago 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 I 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, AM, .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: P4S/-%.4 L- kn7R4:s-'J PROPERTY LOCATION:' //;rte tike, SLA
SUBDIVISION LJ A d, r 74 *..a+- LOT #
Facility Type: ��� &3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ZNo
Type of Wastewater System** $A R; }-IU-ZJ74ll ;4!s %-t'_ (Initial) Wastewater Flow: `19 U GPD
(See note below, if applicable ❑)
L11D 2�._n (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size 12-00 gallons Exact length of each trench t o J feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4 inches below pipe
Aggregate Depth: 2 inches above pipe
/L inches total
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.
**If applicable: / ondeatand the soteor type specified it different from the type dpedfed on the applicadon. / accept the Jpedhcadonr of thir permit
Owner/legal Representative Signature: Date:
This Construction Authorization it subject m 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
t.onstmction Autnonzation IS subject to compliance with the previsions of the Laws and
Rules for Sege Treatment and Disposal and to the conditions of this permit. At AI IAl11tU lilt MtIIM
Authorized State Ap t: ori /d/it-,.(..��!/ Date: / ! - Z0 - / �'
9 construction Authorization Expiration Date: t t - 2U - ) 6
HTE # / S S — .36 R3 D/L Permit # ZS Ty, -
Harnett County Departmernt of Public Health
Site Sketch
N� PROPERTY LOCATOM�T"R02— L.e.�
ISSUED TO:z�%d^lZ isR� SUBDIVISIONA �� E r�o ,� LOT # l
Authorized State Agedt� 12 -�/ Date: f/— � S—
X /00 GJ/h DAG /�4%JEIl %J Lair ; cr o , x,'
Cb,r<5 LAAjxt