IPAC RRHTE#MIMM Harnett County Department of Public Health
_ ~i~ti3~~~ Lmprovement Permit 26351
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: C 'rte PROPERTY LOCATION: G¢ E~KS~,,, LE C
. u CL Cr,'1 97D
SUBDIVISION SA-4 ~s N O 9,1r-s
NEWT REPAIR ❑ EXPgSION ❑ LOT :
Type of Structure: `s~fl (6-t ~Ib'1 Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: r,e I o Cotv4Ctx'4 16 N P,t-
Projected Daily Flow: GPD
Number of bedrooms: ~-1 Number of Occupants: 'FS max
Basement ❑Yes No
Pump Required;Ayes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well )9J O
Permit conditions: feet Permit valid for. Five years
❑ No expiration
Authorized State Agent::
S Da'ti 10
SEE ATTACHED SIT E SKETCH
The issuance of this permit by the Heth partment in no way guarantees the issuance o ermits. The er is res ons~for kingwith appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the 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 conditions of this permit..
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955,
with the attached system layout. .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: C.--FS - - L-Doer-,e.ti PROPERTY LOCATION: -CEXS141 C
6 ~ UCLC~~ tD
Facility Type: 5Fp (6`7 K. SUBDIVISION LOT #
~ 6)_ ~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System' _ Pv n. \ , tai"v C r J : o k~
(See note below, if applicable (Initial) Wastewater Flow: GPD
Pyr'*"~Q aS°lo Rfo vcx~t o (Repair)
Installation Requirements/Conditions Number of trenches ►
Septic Tank Size ►ood gallons Exact length of each trench 'S 3,0 Pump Tank Size gallons feet Trench Spacing: Feet on Center
g Trenches shall be installed on contour at a Soil Cover: _ C-1~L, inches
Maximum Trench Depth of. SQ-~ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: a inches above pipe
a_ inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable /understand the rystem type speciled it dih'erent from the type soeci6ed on the app/ication. / accept the rpe6&,? i fls of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is su Date:
f anon if the site plan, plat, or the intended use changes. the Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complian with ision the Laws and Rules for Sewage treatment and Dis oral and to the conditions of this ermit
p p SEE ATTACHED SITE SKETCH
Authorized State Agent: fir Date: L ~tolL-l
Con tion Authorization Expiration Date
HTE# O~-S-bGy'v~(uZ
Permit # -af,35 I
Harnett (county Department of Public Health
Site Sketch
PROPERTY LOCATON: CitgzKsv I Lt,C 1
ISSUED TO: C--75 SUBDIVISION
LOT # 1 a-..
Authorized State Agent: ~S t~ i 'Sot,~o Date: t0~a'1~10
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