IPAC RHTE# w Hari. _.t County Department of Public .aalth 28036
hDrovement Permit
Ggnry WBtH�N omid5A buifid8 permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 6 C�
ISSUED TO: Iyaltn t e 44eit-
with the attached system layout V r+ PR-) 1461&`-00 i
SUBDIVISION MQ<LK&,�;PT PPG-
LOT #
NQK REPAIR ❑
L XPANSIO ❑
Site Improvements required
prior to Construction Authorization Issuance:
Type of Structure: 5� �1:C3�x�'b�4�
Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes �<No
Proposed Wastewater System Type: ci.SRra V46uciN09J
—14,MProjected
Type of Wastewater System" Q,.C-ZvUC"XON S7brESn
Daily flow: 4N10 10
L+
GPD
ea�
(See note below, if applicable ❑)
�)vc+�Q7etzs f. /a
Number of bedrooms:
Number of Occupants:
max
Installation Requirements/Conditions Number of trenches L -
Basement []YesNo
_
Septic Tank Size L 00 O gallons Exact length of each trench Coo
feet
Pump Required: Dyes )<No
AMay be required based on
final location and elevations of facilities
Soil (over: C. I Q inches
Type of Water Supply: ❑ Community
Public ❑ Well
Distance from well ffJO feet
Permit valid for: five years
Permit condieinar.
_
in all directions)
❑ No expiration
Authorized State Agent:: S Date: 1 f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holdel is res nsible for checking with appropriate governing bodies in meeting their requirements. This
sice is w6jett to revocation if the site pla Car the i e changes. The Improvement mit 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 an d to m ermit..
26- bcrca rn.131T5aw
Reauired for Buildine Permit
The construction and installation requirements of Rules .1950, .195L .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 V r+ PR-) 1461&`-00 i
ISSUED T0: PROPERTY LOCATION:
_
�7 1 aDt)\v P Q,%
' SUBDIVISION M PQ, -4x.
, L,?. Ler LOT # :Yl—
Facility Type: SR�CL1j"� New ❑ Expansion ❑
Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes �<No
Type of Wastewater System" Q,.C-ZvUC"XON S7brESn
(Initial) Wastewater Flow: 4`b GPD
(See note below, if applicable ❑)
�)vc+�Q7etzs f. /a
(Repair)
Installation Requirements/Conditions Number of trenches L -
_
Septic Tank Size L 00 O gallons Exact length of each trench Coo
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil (over: C. I Q inches
Maximum Trench Depth of: M' 3 O
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
inches below pipe
Conditions: N S' -TE 10 `,i)61L F-1 77N Loc ATs and
PNP
Aggregate Depth: inches above pipe
inches total
' c—lC -s,; C>Flilv, 9 e,...P
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the swem type speciped is different from the type rpeci6ed on the application. / accept the speci(2cationr of this permit.
Date:
Construction
Authorized
o the intended use changes. the Construction Authontation shall not be members
Caws and Rules for Sewam Treatment and Disoosal and to the conditions of this
1� Date:
bZG^tsLp V44zhsi� ConstruMn Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# Permit # 2B03b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 0P --)N-04-0)N
ISSUED TO: aP, SUBDIVISION non - G- QLPCC-- 1 LOT
Authorized State Agent: NS 61-1'46–GGLY-SZO Date: �hS I li
roe oe
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