IPAC RRHTE# 5 3 IIP42— Harnett County Department of Public Health 29197
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
J �J PROPERTY LOCATIOL116<,/y0T 44A4eize'e !CV/ -J W4,p)
ISSUED TO �S/��7-r.T►cG[i�d SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ->`
Proposed Wastewater System Ty e: p
Projected Daily Flow: O $ !4D L40 �
Number of be�dros: Number c upants: �.max
Basement IsdYes ❑ No
Pum Required: ❑Yes ❑ No M erequired ed on final location and elevations of facilities
P q
Type of Water Supply: ❑ Community Public Well Distance from well feet Permit valid for. W Five years
Permit conditions: ❑ No expiration
Authorized Staf4Jggot' Date: 3 — Z� — I I SEE ATTACHED SITE SKETCH
The issuance of this permit the ealth 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 revocati 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 Caws 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 .19511, .1952, .1954, .1955, .1956, .1957, .1958, and .1959 art incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: S!81— 1G70 .Un PROPERTY LOCATION•e _&J f C I ek Xlco�
SUBDIVISION LOT #
Facility Type: r 1C S�D /New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ YesNo
Type of Wastewater System** —ALLa ya/ (Initial) Wastewater Flow: !¢.B GPD
(See note below, if applicable ❑) F ��v��
(Repair)
Installation Requirements/Conditions Number of trenches '3
Septic Tank Size 06 gallons Exact length of each trench 10 O feet Trench Spacing: feet on Center
Pump Tank Size / d0 D gallons Trenches shall be installed on contour at a Soil Cover. Inches
Maximum Trench Depth of: 2d inches (Maximum soil c ver shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions) /
Pump Requirements: ft. TON vs. GPM /P inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: 1-7 inches total
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.
**If applicable• / o#deatand the grtem type rpea6ed /r diNerem from the type tpeubed on the application. / accept the rpeabcatioar of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation 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 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 A L Date: 7
Construction Authorization Expiration Date: �7-2?ta d7_
HTE# Permit # 1.2 % /!2 7
Harnett County Department of Public Health
Site Sketch
-G PROPERTY LOEATON:;9 C4/t/0rj Dly1(;2rf A5 ,;Xit// jeo
ISSUED TO: �/���/ 71) sc.� '�.v6 SUBDIVISION 4 LOT #
Authorized State
W
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