IPAC RHTE# »-S"L► 1-.452 Harnett County Department of Public Health 29531
Imarovement Permit
A building permit cannot be issued with only an Improvement P crust
nPROPERTY LOCATION: NC+'aii'�-�7 ��Lv5SrFW"Zr Lr�>
ISSUED T0: �Fracvty Fo0Ca2� �rtP'J SUBDIVISION LOT #
NEWX REPAIR I-]E�PAII�"N rE , Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `�R RN 'A 0, ME l� L T—)1, )
Proposed Wastewater System Type: Z—S°/• 3-rs4ZE,
Projected Daily Flow: f--1$Q� GPD
Number of bedrooms: Uf Number of Occupants: _max
Basement []Yes -7�140
Pump Required: []Yes ,rno ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >�,Public ❑ Well Distance from well Net Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: -Y'1 Date: �� 3) I ), SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o escorts. The permit holder is reser checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plat or the intended use changes. The Improvement Perms all 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 attordance
with the attached system layout
ISSUED T0: JF.Trs��C Cit �aC3L: �cipLy PROPERTY LOCATION: NLZQL`11x1 S -�`&'Nwr
SUBDIVISION LOT #
Facility Type: M faK'knit X New ❑ Expansion ❑ Repair
Basement? ❑ Yes IX No Bant Fixtures? 1-1YesX No
"' 0 -ST -6
Type of Wastewater SystemvCX L 0 N 57'Sibrn (Initial) Wastewater Flow: L'q'3 GPD
(See note below, if applicable ❑) e
2 S Io
KGO h S-tg ; -z>,(Repair)
Installation Requirements/Conditions
Number of trenches f
Septic Tank Size zoo o gallons
Exact length of each trench 36(ZI feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of 1 •a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. C - l i 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the rystem type ipeciled is different from the type speciled on the application. / accept the sperih'tationc of this permit
Uwner/Legal Repnesenta4ve Signature: Date:
This Construction Authorization is subject to r 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 Authorizau t m c.Zpanot with the p "ons of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent W--) Date: 5)3&-)
S
o struction Authorization Expiration Date: 3)
HTE #-'IIaL'i5Q, Permit# a 3
Harnett County Department of Public Health
Site Sketch (�
PROPERTY ?i� jXl �LLi �5 SQL rQ1L;
ISSUED TO: �� ��L- QGti: SUBDIVISION LOT # LOCATON: N(.
Authorized State Agent:l(jLTeLXsi�� Date: 5131) 1