IPAC RHTE#�-7 '1664?5,e, Harnett County Department of Public Health 29375
hDrovement Permit
A building permit cannot be issued with only an Improvement Pe m it
�� QQ �� PROPERTY LOCAT f ?Z f S p
ISSUED TT�i.9 !4Al ZFK SUBDIVISION LOT # 3
NEW REPAIR ❑�- EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c�
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes No
Pump Required: []Yes❑ NoMa a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Stalel ent:: Date: — —SEE ATTACHED SITE SKETCH
The issuance of this permi y th Health 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 i e 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, .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
ISSUED TO: C_UPROPERTY LO TO Z
SUBDIVISION
Facility Type: aim M New❑/ xpansion E]Repair
Basement? El Yes No Basement Fixtures? El Yes No
Type of Wastewater System" _V��-j'V�/L�v^-�
(See note below, if applicable ❑) 7
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1666 gallons Exact length of each trench L) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 'a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
LOT #
(Initial) Wastewater Flow:.360 GPD
Trench Spacing: Feet on Center
Soil Cover. T inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
17— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable / undetrrend the ryJtem type rpea6ed /r d/Nerent hom the type rperiled on the application. / accept the JpKI&AIMS o/ this permit.
Owner/Legal Representative Signature: Date:
This (ommuctiun Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of she site. This
tomtmmon Authonzabon 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 gent: X Date: 4 -0* -`17
Co struction Authorization Expiration Date: 2
HTE # /%' S y/ALZ g— Permit # 2,9 —�S - 5
Harnett County Department of Public Health
Site Sketch
/� PROPERTY LOCATE
ISSUED T0� / SUBDIVISION
Authorized State
LOT # 5—
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