IPAC RHTE# /U° s °c q3 qle- Harnett County Department of Public Health
Improvement Permit 2631 9
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATIO : edl lew
ISSUED T0: SUBDIVISION c~4-~c,ir : OL t - LOT # A
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -SED 6_15'9gr
Proposed Wastewater System Type: 2Sr 77u 44%r~ fgrf 60_
Projected Daily Flow: 1L 6 GPD
Number of bedrooms: ~ Number of Occupants: max
Basement ❑Yes R No
Pump Required: ❑Yes ❑ No ~Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7 public ❑ Well Distance from well feet Permit valid for: 0-F-ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: 43` s 1 Date: / f , "1 c®"! SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health Department in no way guarantees t e 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 la
out.
y
ISSUED T0: B
PROPERTY LOCAT N:
SUBDIVISION I
LOT #
Facility Type: 5-Fy)
Ud New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ~2 .o r~ d
u :4= csn:
(Initial) Wastewater Flow: C' GPD
(See note below, if applicable
~
'2t
~ (Repair)
Installation Requirements/Conditions
Number of trenches c; r- Z -IS-
-
Septic Tank Size /000 gallons
0 o{ feet
Exact length of each trench S
Trench Spacing: y Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: / inches
Maximum Trench Depth of. 7(-` /8 inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
inches below pipe
Conditions: d ~ t
~
C/
Od e-ed -C C6
Aggregate Depth: inches above pipe
inches total
q
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: 1 understand the system type spedfled is different from the type speciped on the app/ication. / accept the spedf1cations 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
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Jtt Al IACHtU Jilt SKETCH
Authorized State Agen • - Date: ...-1 1~9'-a _
Construction Authorization Expiration Date:
HTE# q -'-'V4 Permit # P2, C 3 /5
Harnett County ]Department of n-iblic Health
Site Sketch
PROPERTY LOCATON: >r, " >
ISSUED T0: d/ 7 "camrcC 4~l d SUBDIVISION , --r LOT # /
c
Authorized State Agent: s=•~~ e Date: Xv/
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