IPACNTE#IE—S31743 Harnett County Department of Public Health 29046
Authorized State Agent:: Date: 1011 I1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees uctanse of other permits. The permit h respo Bible 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 x ovement 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 constmttion and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be insta ind in accordance
with the attached system payout.
ISSUED TO: \`06E2- PROPERTY LOCATION: cRI-d7_v� ��oG Lw
SUBDIVISION s "L- V J FPS C/ sS L Sa Lc, LOT #
Facility Type: 5F0 ��� y V�7 New ❑ Expansion ❑ Repair
Basement?,K Yes ❑ No Basement Fixtures? Yes ElNo
Type of Wastewater System** 9 V M'G aJ to RESP uC, I Q N Sy37� (;o- (Initial) Wastewater Flow: 140 GPD
(See note below, if applicable ❑)
P2Css �2..BnxrCr3C (Repair)
Installation Requirements/Conditions Number of trenches Jr
Septic Tank Size s OocD gallons Exact length of each trend feet Trench Spacing: 1 Feet on Center
Pump Tank Size 1 00 CJ gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: I Z, 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: h. TDH vs. GPM inches below pipe
_ Aggregate Depth: inches above pipe
Conditions: IT) asLAc.6,,56D inches total
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: / understand the ryrtem type rperiffed it different Imm the type rpebibed on the app/icaaon. / attept the .rperifianivas of thin permit
Owner/legal Representative—Signature: Date
This Construction Authorization is subject to revoca a si Ian, plat, or the intended use changes. The Construction Authorization sha8 not be transferred when there is a change in owtrership of the site. This
construction Authorization i s t w compliance wi a pro" the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent kZ- '6 Date: l o ks T6
Cons lction Authorization Expiration Date: f 3. IQ
Improvement Permit
A building permit cannot be issued with only an Improvement Pe 1t
n o
(Zzacct'S
PROPERTY LOCATION: e)Lv F%-, c 66 I—N
a
ISSUED TO:
SUBDIVISION 1"GWe—vFpS %. Cszesc Lit, b LOT #
NEWS( REPAID} ❑ XPANSION ❑
5%'�1
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SJ Fo
Proposed Wastewater System Type: Pu ev%q—'Sg a.S v
%p c, h a 44
Projected Daily Flow: zafo0 GPD
Number of bedrooms: 3 Number of Occupants:
max
Basement ❑Yes -1�10
Pump Required:Des ❑ No ❑ May be required based
on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well
Distance from well 1 b O feet Permit valid for: Five years
Permit conditions: _e
❑ No expiration
Authorized State Agent:: Date: 1011 I1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees uctanse of other permits. The permit h respo Bible 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 x ovement 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 constmttion and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be insta ind in accordance
with the attached system payout.
ISSUED TO: \`06E2- PROPERTY LOCATION: cRI-d7_v� ��oG Lw
SUBDIVISION s "L- V J FPS C/ sS L Sa Lc, LOT #
Facility Type: 5F0 ��� y V�7 New ❑ Expansion ❑ Repair
Basement?,K Yes ❑ No Basement Fixtures? Yes ElNo
Type of Wastewater System** 9 V M'G aJ to RESP uC, I Q N Sy37� (;o- (Initial) Wastewater Flow: 140 GPD
(See note below, if applicable ❑)
P2Css �2..BnxrCr3C (Repair)
Installation Requirements/Conditions Number of trenches Jr
Septic Tank Size s OocD gallons Exact length of each trend feet Trench Spacing: 1 Feet on Center
Pump Tank Size 1 00 CJ gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: I Z, 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: h. TDH vs. GPM inches below pipe
_ Aggregate Depth: inches above pipe
Conditions: IT) asLAc.6,,56D inches total
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: / understand the ryrtem type rperiffed it different Imm the type rpebibed on the app/icaaon. / attept the .rperifianivas of thin permit
Owner/legal Representative—Signature: Date
This Construction Authorization is subject to revoca a si Ian, plat, or the intended use changes. The Construction Authorization sha8 not be transferred when there is a change in owtrership of the site. This
construction Authorization i s t w compliance wi a pro" the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent kZ- '6 Date: l o ks T6
Cons lction Authorization Expiration Date: f 3. IQ
HTE# 16 -S 3h163
Permit # a56y b
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: BwitF V.,o6E Lv
ISSUED TO: Ro e)Ct�C-XILey SUBDIVISION -S»C LOT # �.
Authorized State Agent. » Cot,vC2,vLysoo� Date: to'aa�l�
ri QEQQ 1(j_ I"II
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