IPAC RHTE# IS-5-36nL-)Q. Harnett County Department of Public Health 28735
1s-s-35'�a3 2 Improvement Permit
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A building permit cannot be issued with only an Ism rovement Permit
PROPERTY LOCATION: 111L2P\ 1 0n--
ISSUED TO: �oN �.s SU�MPN SUBDIVISION--7MAz"-7A N s w,n.c E LOT # 4
NEWX REPAIR ❑ PANSION F-1SiteImprovements required prior to Construction Authorization Issuance:
Type of Structure: "J �O (7 a— T&C
Proposed Wastewater System Type:a"o QFSJk7cC\otJ SYS�E�n
Projected Daily Flow: 3 E, O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes > No
Pump Required: ❑Yes No ❑Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well 1 O d feet Permit valid for. -X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date:1'7 lG SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan er permits. The permit hof r u resp n w 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 Improvem—eniallinapit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. 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: Se)+rip PROPERTY LOCATION: <rz-y,
SUBDIVISION \ 1 CL24XVA 66 LOT #
�"C� New El Expansion El Repair
Facility Type: 560 (Z-7 T—
Basement? ❑ Yes No Basement Fixtures? ElYes 35<No
Type of Wastewater System'* aSsll a QG0\J IU40 S�-Z:;-&M (Initial) Wastewater Flow: 3LU GPD
(See note below, if applicable ❑) �—e/
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KGOVC 5Z`i0 S-47
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s,4 (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1000 gallons
Exact length of each trench 50 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 2'4,'30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TUN vs.
GPM
Conditions:
Trench Spacing: 9 feet on (enter
Soil Cover: � inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified /s different from the type spedfed on the app/intron. / accept the sperifrati ms of this permit.
Owner/legal Repres nature: Date:
This construction Authorization is subject to rev if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there u a change in ownership of the site. This
construction Authorization isliska to complian "tit the of the laws and Rules for Sewage Treatment and Disposal and to the conditions of This permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date: '31)-71,1 L
Cons ion Authorization ExDiration Date: 511 r) -x\
HTE# \ 5- 5-"-6-ta32
Permit # 7-135
Harnett County Department of Mtblic Health
Site Sketch
PROPERTY LOCATON: 02
ISSUED TO: i Y caw 4\tv SUBDIVISION LOT # t
Authorized State Agent: NS 6� �62To�xJJO Date: $T I��
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