IPAC RHTE# �%-yio��R Harnett County Department of Public Health 29377
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIOEISC/c/z"*1e-�A
ISSUED T0: SUBDIVISION I LOT #
NEW EY REPAIR 0 EXPANSION ❑ Site Imp r9y mems required prior to Construction Authorization Issuance:
Type of Stmcture:
Proposed Wastewater System Type:�—
Projected Daily Flow: GPD p
Number of bedrooms: Number f Occupants: 2S max
Basement []Yes C7 No
Pump Required: ❑Yes ❑ No f+J Ma �a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Il" Public ❑ Well Distance from well feet Permit valid for. ive years
Permit conditions: ❑ No expiration
Authorized S e A ent:/ Date: 8.1-29 —/ SEE ATTACHED SITE SKETCH
The issuance of no- permit s Nealth Department in no way guarantees the issuanceLr permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoc; n i ie 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, .1950. 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: /.t /an)A) / S7�li/ ZrWVC
facility Type:z Q New
Basement? ❑ Yes No �azement Fixtures? ❑ Yes
Type of Wastewater System**
(See note below, if applicable i
Installation Requirements/Conditions
Septic Tank Size vI Z-" gallons
Pump Tank Size 4 266 gallons
PROPERTY LOCATI01 y�
((((((SUo B IVISION
LOT #�xpansion ❑ Repair
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'nitial)
Wastewater Flow: V8d GPD
Number of trenches _5
Exact length of each trench /66 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ-2�2 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing:— Feet on Center
Soil (over: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST RE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
*If applicable: / undeatand the system type specified is different from the type specified on the application. / accept the specification; 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
unstrumon immunization 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 enc: Dater
Construction Authorization Expiration Date: antl
—f 3 2Z
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Permit # 27 d 77Z
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATO
ISSUED TO: �TL.�%n%! jf� /�_ SUBDIV�IS ON T #
Authorized State/ ^119yr;Y "mss Date: Li=fir%
"7-1311
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