IPAC RHTE#�lo S=3ss�7i� Harnett County Department of Public Health 28860
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized State Ageof_ C Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department 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 the site plan, plat, or the intended use changes The Improvement Permit shall not be affected by a flange 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 .1958, .1957, .1954, .19SS, .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 PROPERTY LOCATIONZA -ZZ/S .c r.N a .^4�
SUBDIVISION Q✓*Xte mal tea,] LOT # � e
Facility Type: % ❑ New l�Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes CAO y v
Type of Wastewater System** Z,5y )ZoGi)0&-77e0 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
CZ% &Z- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank SizeyV gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2Z inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing / Feet on Center
Soil Cover. (,z— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
7 inches above pipe
/L inches total
**If applicable: / andeatand the ryrtem type rpeciGed /J different from the type rpedh'ed on the app/ication. / accept the rpeti&ationr of thir permit
Owner/Legal Representative Signature: Date:
This Concoction Authorization is subject to revocation if the site plan, pla4 m the intended use flanges. The Consmuction Autlwrrsation shall not be transferred when there u a change in ownership of the site. This
Unstruction Authorization is subject to compliance 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 A4�:��ConEtruc��
ate: s—1 q /�
horization Expiration Date: S =-/' — Z/
PROPERTY LO
ISSUED TO �' Sw aw
e iC� Cyi��SUBDIVISION fii/ /
� LOT #
NEW f3S AIR ❑❑�
EXPANSION Site Improvements required
prior to Construction Authorization Issuance:
Type of Structure: l St�l,
Proposed Wastewater System Type: ZSa/.a 7gi)r LcZ�1.S—
Projected Dail/ Flow:
GPD
Number of bedrooms:Number/of
Occupants: 8 max
Basement Dyes No
i
Pump Required: ❑Yes ❑ No
ldm ,be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
E2Public ❑ Well Distance from well feet
Permit valid for. Cd"Fjve years
Permit conditions:
❑ No expiration
Authorized State Ageof_ C Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department 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 the site plan, plat, or the intended use changes The Improvement Permit shall not be affected by a flange 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 .1958, .1957, .1954, .19SS, .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 PROPERTY LOCATIONZA -ZZ/S .c r.N a .^4�
SUBDIVISION Q✓*Xte mal tea,] LOT # � e
Facility Type: % ❑ New l�Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes CAO y v
Type of Wastewater System** Z,5y )ZoGi)0&-77e0 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
CZ% &Z- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank SizeyV gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2Z inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing / Feet on Center
Soil Cover. (,z— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
7 inches above pipe
/L inches total
**If applicable: / andeatand the ryrtem type rpeciGed /J different from the type rpedh'ed on the app/ication. / accept the rpeti&ationr of thir permit
Owner/Legal Representative Signature: Date:
This Concoction Authorization is subject to revocation if the site plan, pla4 m the intended use flanges. The Consmuction Autlwrrsation shall not be transferred when there u a change in ownership of the site. This
Unstruction Authorization is subject to compliance 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 A4�:��ConEtruc��
ate: s—1 q /�
horization Expiration Date: S =-/' — Z/
HTE#/�-5-3855;7 R
Permit # y
Harnett County Department of 1'tiblic Health
Site Sketch
PROPERTY MATO
ISSUED T{Y —cfd (� ,/2 i1Cr SUBDIVISION Qd�??sf i//J
LOT # /
Authorized State
Date:
PID
�,�/� -y"6", 2rc