IPAC RHTE#/L—S-- "i"O/VVIZ Harnett County Department of Public Health 29638
Imarovement Permit
Authorized Sta e r' `—�„/ — Date: 7=� SEE ATTACHED SITE SKETCH
The issuance of this permit the Rea 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 m revocation a 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 Permh)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inro this permit and shill be met. Systems shall be installed in accordance
with the attached system layout. W
ISSUED TO: L PROPERTY LOCATIO
SU IVISIONpanso LOT #
Facility Type: New/No
xpansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes
Type of Wastewater System** _
(See note below, if applicable ❑)
(Initial) Wastewater Flow: _V80 GPD
Installation Requirements/Conditiods Number of trenches / 3
Septic Tank Size 17gallons Exact length of each trench )I`a^' feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at $r Soil (over. inches
Maximum Trench Depth of 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: h. TON vs. GPM inches below pipe
r� Aggregate Depth: inches above pipe
Conditions: f U /J� inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ICIFT. FROM ANY PART 0 EPTIC SYSTEM 0 EPAIR 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 rpecificationt 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 SEE ATTACHED SITE SKETCH
Authorized State A ent: Date:
Construction Authorization Expiration Date: -7— L2)
A building permit cannot be issued with only an Improvement it
Wig,
PROPERTY LOCATIO
ISSUED TO:
SUBDIVISION SUBDIVISION
LOT #M
NEW CCd" /
REPAIR
EXPANSION ❑ Site Improvep encs required prior
to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T se:
Projected Daily Flow
�i
GPD
Number of bedrooms:Number
�
f Occupants: a max
Basement Dyes
Pump Required: ❑Yes
❑ No
J
ld�Ma/ye required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
L� Public ❑ Well Distance from well feet
Permit valid for Five years
Permit conditions:
❑ No expiration
e—,
Authorized Sta e r' `—�„/ — Date: 7=� SEE ATTACHED SITE SKETCH
The issuance of this permit the Rea 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 m revocation a 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 Permh)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inro this permit and shill be met. Systems shall be installed in accordance
with the attached system layout. W
ISSUED TO: L PROPERTY LOCATIO
SU IVISIONpanso LOT #
Facility Type: New/No
xpansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes
Type of Wastewater System** _
(See note below, if applicable ❑)
(Initial) Wastewater Flow: _V80 GPD
Installation Requirements/Conditiods Number of trenches / 3
Septic Tank Size 17gallons Exact length of each trench )I`a^' feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at $r Soil (over. inches
Maximum Trench Depth of 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: h. TON vs. GPM inches below pipe
r� Aggregate Depth: inches above pipe
Conditions: f U /J� inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ICIFT. FROM ANY PART 0 EPTIC SYSTEM 0 EPAIR 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 rpecificationt 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 SEE ATTACHED SITE SKETCH
Authorized State A ent: Date:
Construction Authorization Expiration Date: -7— L2)
HTE# 11L` 61 YW Permit # -,?j % 3 8
Harnett County Department of 1-�iblic Health
Site 'ketch
PROPERTY LOEATO -
ISSUED T0: 4 W JM�c , C� SUBDIVISION 1011 # Zip
Authorized Stat gent: Date:
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