IPAC RRHTE#oi-S_jb9/ofolz/Z Harnett County Department of Public Health 29162
Imarovement Permit
Authorized State Agent—, ` ate: /-/3-/-7 SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate Ramming bodies in meeting their requirements. This
site is subject to revocation a site plan, plat or the intended use changes. The Improvement 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 canditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction 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 installed in accordance
with the attached system layout rt_n
ISSUED TO: S%ffi�C2/ �(/��Q Tyut PROPERTY LOCATION: �-/S6 !9- -5Z-111-5rr
S ,fe 5 )h
SUBDIVISION l�f/AAacwr s (�c�-� OT # ::39_
Facility Type: S ❑' New E),Ixpansion ❑ Repair
Basement? ❑ Yes No Basement Frixturgs? ❑ Yes [?'No
Type of Wastewater System**,/Cc�c�� (S=r �C�rLaJ GS / (Initial) Wastewater Flow: 3C O GPD
(See note below, if applicable ❑)
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A building permit cannot be issued with only an Improvement Permit
Number of trenches
Septic Tank Size / -0 gallons
Exact length of each trench _7�-;- feet
PROPERTY LOCATIO :�/ SLASAS
Trenches shall be installed on contour at a
ISSUED T0:/�,
y /2�sc�
U /�ei t -S SUBDIVISION k,y d
LOT # 3g
NEW CB'
REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure:
Proposed Wastewater System Type:
��/a J a tb U U7A>--
Projected Daily Flow:
-3Cc"b
GPD
Number of bedrooms:
Number of Occupants: C+' max
Basement ❑Yes
Pump Required: RlYes
No
❑ No
1I M be required based an final location and elevations of facilities
Type a( Water Supply:
El Community
Public ❑ Well Distance from well feet Permit valid for:
Five years
Permit conditions:
❑ No expiration
Authorized State Agent—, ` ate: /-/3-/-7 SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate Ramming bodies in meeting their requirements. This
site is subject to revocation a site plan, plat or the intended use changes. The Improvement 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 canditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction 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 installed in accordance
with the attached system layout rt_n
ISSUED TO: S%ffi�C2/ �(/��Q Tyut PROPERTY LOCATION: �-/S6 !9- -5Z-111-5rr
S ,fe 5 )h
SUBDIVISION l�f/AAacwr s (�c�-� OT # ::39_
Facility Type: S ❑' New E),Ixpansion ❑ Repair
Basement? ❑ Yes No Basement Frixturgs? ❑ Yes [?'No
Type of Wastewater System**,/Cc�c�� (S=r �C�rLaJ GS / (Initial) Wastewater Flow: 3C O GPD
(See note below, if applicable ❑)
Gsr,
Le� xx;r-epair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size / -0 gallons
Exact length of each trench _7�-;- feet
Pump Tank Size 6 e7 e-) gallons
Trenches shall be installed on contour at a
1/
Maximum Trench Depth of: /Z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs.
GPM
Conditions:
Trench Spacing:— �IF— Feet on Center
Soil Cover. 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.
i
inches below pipe
Z inches above pipe
/2- inches total
**If applicable: / anderrtanJ the ryrtem type rpecifie0 iu diJ/erent fiom the type tpetiled on the app/iradon. / acrept the rperiltarinnt o/this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoceums it the site plan, plat or the intended we changes. The Consumerist Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authonzanon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this peuiL SEE ATTACHED SITE SKETCH
Authorized State A / Nr — Date: /—/!>- /7
i Construction Authorization Expiration Date: /"/3 - zz
HTE# b!- S--- I L3 (v Id /'uZ Permit # � 4 I (� Z
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2
ISSUED TO: SGS
SUBDIVISION / pe c r f - LOT # 32
Authorized State Ag iA A ---r Date: /— T — /'7
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