IPAC RHTE# - '3�*/"M Harnett County Department of Public Health
Improvement_ 29075
A building permit cannot be issued with only an Improvement PIt
ISSUED TO/e1,41dV0,,j� 0pr PROPERTY LOCATION- yzb
NEW W REPAIR ❑SUBDIVISION LOT #
EXPANSION ❑
Type of Structure: Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Trpe:
Projected Daily Flow: 3ILVJ GPD
Number of bedrooms: Number of Occupants:_mag
Basement ❑Yes No
Pump Required: ❑Yes ❑ NoLd Mj1/be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community (s� public ❑ Well Distance from well
Permit conditions: feet Permit valid for. Five years
❑ No expiration
Authorized ile Agent.:11
The issuance o t n permit b e ealsh Department in no way guarantees the issuance of other ermits. The fe•42
—� SEE ATTACHED SITE SKETCH
she is subject m revocation site plan, plat, or the intended use changes. the Improvement Permit shall net e'aneeted byrasshangeeinoawnersh p of the site. This permit is subject to compliance with de provisions of
the laws and Rules for Sewage Tel P and Disposal and to ed use ch of this Dermic. Checking apPropnare gorerning bodies in meeting their requirements, This
Construction Authorization
The roe attacherumon and installation requiremenh of Rules .950, .957, .954, .955, .956, .19557, 19% andr 959Iare incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO:
PROPERTY LOCATION:)l3 2l
Facility Type: D SUBDIVISION LOT #
Basement? ❑ Yes New Expansion ❑ Repair
No Basement fixtures? ❑Yes [X No
Type of Wastewater System** 2Sd/e 2��� S �_
(See note below, if applicable ❑):rE(Initial) Wastewater Flow. 3(eb GPD
ZS`2a Rem �T Re alr
Installation Requirements/Conditions Number of trenche" s (Repair)
Septic Tank Size d gallons Exact length of each trench
Pump Tank Size cellons feet Trench Spacing: feet on Center
8 Trenches shall be installed on contour at a Soil Cover:
Maximum Trench Depth Of' P inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/q^ 36" above the trench bottom)
Pump Re uireme u in all directions)
q
IS • ft. TDH vs. _ GPM
inches below pipe
Conditions: Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
ft.
able: / undeatand the rysil type ipeciled is di//erent from the type ipealeD an the appliaixi / accept the ipenlcallooi of this permit
-1•1 —13 -tom, numomanon is sul to revocation if she sire plan, 1 ar the intended use changes. The Construct
Construction Accountants is wbjen to compliance with the provisions of the Laws and Rules for Sewage Treatment and
Authorized State4iiz;�a �,Z „`_ r7,i
Construction Authorization
,..on span not be transfers
and to the conditions of this
Date: _
Expiration Date:
Date: _
there a a chain
e to ownership of the site. This
SEE ATTACHED SITE SKETCH
�r
HTE# �6-� y6y,2 Permit # o;� "Z U - s
Harnett County Department of Fiblic Health
Site Sketch
ISSUED TO: ( �Ay� �yr r� PROPERTY LOCATON:IXA3.5 aTxe),}
SUBDIVISION —` LOTT #
�Ps.4fs #
Authorized State /L
U Date /U-
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