IPAC 2HTE# I T-5 -y1LIC-1 Harnett County Department of Public Health 29576
hDrovement Permit
Authorized State Agent: Date: o :J I I :� I zy h -* SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 requmementx This
site is subject in 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .19SO, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: _C.Ina ia> 3r*,.L� PROPERTY LOCATION: _B 1�3 S'ohtvcn T --g n (t.A (S<t TSO e)
SUBDIVISION LOT #
Facility Type: AtfXr 7-6cz- 5"-� p New ❑ Expansion ❑ Repair
Basement? ❑ Yes �1O Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 5 s (Initial) Wastewater Flow: ZVO GPD
(See note below, if applicable ❑)
Wc, S, s- /e ---N (Repair)
Installation Requirements/Conditions Number of trenches 2 -
Septic Tank Size ICx)Cj gallons Exact length of each trench 10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z51( 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: Z inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
t 2 inches total
**If applicable / undeatand the system type speciled is different from the type speciled on the application / accept the rpecilcatiom of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
s.onstmction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:_ ri Z21 �' ' Date: U I �q I z -oto
Construction Authorization Expiration Date: 04 i- 1 z zz
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1113 sT nso � M 2a
'' \\
( Srt IS ci J
ISSUED T0:
rilP.b r�Sr
se�Ts \i �r a SUBDIVISION
LOT #
NEW m,
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
CXT Zc3cz— Syz>
Proposed Wastewater System Type: J -!go
Aet� At ,A
Projected Daily Flow:
2t7
7`
GPD
Number of bedrooms:
Number of Occupants: max
Basement []Yes
�Z
Ly'No
Pump Required: []YesEJNo
_�
L�Ma,be�4°fired based on final location and elevations of facilities
Type of Water Supply:
❑ Community
f1YPublic ❑ Well Distance from well feet Permit valid for.
Q-Yfve years
Permit conditions:
❑ No expiration
Authorized State Agent: Date: o :J I I :� I zy h -* SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 requmementx This
site is subject in 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .19SO, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: _C.Ina ia> 3r*,.L� PROPERTY LOCATION: _B 1�3 S'ohtvcn T --g n (t.A (S<t TSO e)
SUBDIVISION LOT #
Facility Type: AtfXr 7-6cz- 5"-� p New ❑ Expansion ❑ Repair
Basement? ❑ Yes �1O Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 5 s (Initial) Wastewater Flow: ZVO GPD
(See note below, if applicable ❑)
Wc, S, s- /e ---N (Repair)
Installation Requirements/Conditions Number of trenches 2 -
Septic Tank Size ICx)Cj gallons Exact length of each trench 10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z51( 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: Z inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
t 2 inches total
**If applicable / undeatand the system type speciled is different from the type speciled on the application / accept the rpecilcatiom of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
s.onstmction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:_ ri Z21 �' ' Date: U I �q I z -oto
Construction Authorization Expiration Date: 04 i- 1 z zz
HTE# l q— 5—ti 11,Permit # Z-
6,- Cl 5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1113 JDl,n5oi rc rM aA i 5,Z ($4z�
ISSUED T0: SUBDIVISION LOT #
i
Authorized State Agent: Date: U • I } 0 Z45 t
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