IPAC R ( See file for Wendy & Trent MooreheadHTE# - - 1-3-7'~ZIZ Harnett County Department of Public Health
Improvement Permit 2 6 4 0 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI ,y-J'r'o3 CeI92 /Z-0
ISSUED T • 9 1 .(JC SUBDIVISION i°.a
t c~ jCl 9 LOT # 7
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: i
Proposed Wastewater System Type:
Projected Daily Flow: Lf GPD
Number of bedrooms:1 Number of Occupants: max
Basement ❑Yes LJ No
Pump Required: ❑Yes ❑ No L?'1 MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lyl Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Date: SEE ATTACHED SITE SKETCH
The issuance of this permit bl 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 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, .1956, .1951, .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.
oy'r 17,
ISSUED TO:
2) ( 71- PROPERTY LOCATION:--;61 C ' i
SUBDIVISION s. ~7~ LOT #
Facility Type: _5 L~1 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? Yes E No
Type of Wastewater System** 0A) J t - - - (Initial) Wastewater Flow: GPD
(See note below, if applicable
t "b Z1 . C&Q -1 Ayt. (Repair)
Installation Requirements/Conditions Number of tr ches 5
Septic Tank Size 12 00 gallons Exact length of each trench feet
Pump Tank Size 100 d gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ?"inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ~7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
& inches below pipe
Z inches above pipe
1Z- 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: /understand the system type specified is different from the type specified on the application, / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. 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 thistpermit SEE ATTACHED SITE SKETCH
Authorized State Age Date: l~ t f ~C
Construction Authorization Expiration Date: lQZU4
.3 6
HTE# 3 M Z 12
Permit # 6 4-103
Harnett County Department of n-iblic Health
Site Sketch
_ PROPERTY LOCATON:c5~/yO3
ISSUED TO: ~BDIVISION qe-%~i LOT #
r
Authorized State Agekt:--- Date: 1Z - ° I
_13lq 3 '