IPACHTE# 11- 't � Harnett County Department of Public Health 29853
Authorized State State Agent:. Date: C�>/ 16L5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other person. The permit holder is responsible for cheding with appropriate governing bodies in meeting their requirements. This
site is subject to revoution 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 in compliance with the provisions of
the lam and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system IayouL
ISSUED TO: CJ.tic PROPERTY LOCATION: 13C, /le zcvN Or . (Qo11-'As a -A • 5n-110
SUBDIVISION i \a., Q LOT #
Facility Type: 362 M--Nw ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2 a A, )I -I ,fn ; . Ste, (Initial) Wastewater Flow: 3GC-) GPD
(See note below, if applicable ❑)
0?5% 61.s A,it.-moo r\ S)6, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 CXY"9 gallons Exact length of each trench 4{} feet
Pump Tank Size 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: 9 Feet on Center
Soil Cover: L6, i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
tJ inches below pipe
Depth: tJA inches above pipe
N inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI(SISTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / unde7tand the system type tpeciled iJ different hom the type .specified on the app/ication. / accept the Jpecihcatinns of thispem2it.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the sice plan, plat. or the incended use changes. The tonsuuction Authori:adon shall not he conferred when there is a change in ownership of the site. This
McMillan Rnmoneabon n subject to wmplianm with the provisions of the taws and Holes for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: mate: C3 CSG (' iblq's
h �on� C --J Construction Authorization Expiration Date: oRJor�, f Q6 2 -2,
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 13 Ca Ro.�ec
\
ve— fir. C Q t`I, ng � .
ISSUED T0: S vcvs4i¢r1a
r\cl
I (OM(/tJ i �u
SUBDIVISION `C I\X—(l0 5est
p LOT # 8
NEW ly
REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
362 (.4>`X 56\ 6F -S7
Proposed Wastewater System Type: R52L
Projected Daily flow:
3 C.C'
GPD
6W-a'A (z.2
L(R CPL �S GC
Number of bedrooms:
3,
Number of Occupants: L
max
Basement ❑yes
giro--
(g4pe -
Pump Required: ❑Yes
❑ No
Id'F1ay be ed based on
—eL-ic—
final location and elevations of facilities
Type of Water Supply:
❑ CommunityPf
P lic ❑ Well
Distance from well Seel
Permit valid (or. meLa1'� yeah
Permit conditions:
❑ No expiration
fLea.c- o� lo -b bha\\ Lzi C1e
•� FOc— ro�ia- lct.
c
Authorized State State Agent:. Date: C�>/ 16L5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other person. The permit holder is responsible for cheding with appropriate governing bodies in meeting their requirements. This
site is subject to revoution 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 in compliance with the provisions of
the lam and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system IayouL
ISSUED TO: CJ.tic PROPERTY LOCATION: 13C, /le zcvN Or . (Qo11-'As a -A • 5n-110
SUBDIVISION i \a., Q LOT #
Facility Type: 362 M--Nw ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2 a A, )I -I ,fn ; . Ste, (Initial) Wastewater Flow: 3GC-) GPD
(See note below, if applicable ❑)
0?5% 61.s A,it.-moo r\ S)6, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 CXY"9 gallons Exact length of each trench 4{} feet
Pump Tank Size 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: 9 Feet on Center
Soil Cover: L6, i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
tJ inches below pipe
Depth: tJA inches above pipe
N inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI(SISTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / unde7tand the system type tpeciled iJ different hom the type .specified on the app/ication. / accept the Jpecihcatinns of thispem2it.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the sice plan, plat. or the incended use changes. The tonsuuction Authori:adon shall not he conferred when there is a change in ownership of the site. This
McMillan Rnmoneabon n subject to wmplianm with the provisions of the taws and Holes for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: mate: C3 CSG (' iblq's
h �on� C --J Construction Authorization Expiration Date: oRJor�, f Q6 2 -2,
HTE# 11-5-yd9;?'R
Harnett County Department
Site Sketch
Permit # R 11663
of Public Health
PROPERTY LOCATON: 13 6 flkzpe s, -L . Dc , (-Q lW n5 /Z,� -11t S)
ISSUED TO: I- 0Ma,-> ,Tnc, SUBDIVISION —T -Le- Qezc -e— LOT # 8
Authorised State Agent �� Date: t')3 �6Si X61 8
Ar �prtFF_�
D -GCA E�-ec\ a
X Cb(O,3b0c-n) M t, J Ice— Cee u t t
5 etiv r
'o�5iv n�>�zTtoa
YLzR�i 2