IPAC RRHTE# 1J-5-q115XL Harnett County Department of Public Health 29939
hDrovement Permit
Authorized State Agent:�� Date: cn4I131 oZ 0li:� 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 requiremenu This
site is subject to revocation if the site plast 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 Dispoal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met Systems shall be installed in mrdance
with the attached system layout
ISSUED TO: �_ Q�Gre`crr_�r .t PROPERTY LOCATION: ` cYC 52 166'J
wv(31s SOBD) ON LOT # /a4
Facility Type: � • zi32 5FO_+� ❑ New Q�Expansion ❑ Repair �I-
Basement? ❑ Yes l� Basement Fixtures? ❑ Yes ❑ No h)ev,C—V-4��1 c s &4mo rr's
Type of Wastewater System** ( on Lwtoil C. -auoa_S 6 26 , 5 xs (Initial) Wastewater flow: GPD
(See note below, if applicable ❑�)+�
ryj. (,rcwd )4, - ja$b 14A- 5 1.4 - (Repair)
Installation Requirements/Conditions Number of trenches 11L 'i
Septic Tank Size l' SCS gallons Exact length of each trench S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 (o inches
Maximum Trench Depth of: �)S_ 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. TDH vs. GPM inches below pipe
Aggregate Depth: 01 inches above pipe
Conditions: 6r, Cotl o r 1 k" "6>uo A P42,V'� La inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR 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 app/icadon. / accept the rpeufcatiom of thin 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 tanslemed when there is a change in ownership of the site. This
Lonstmttion 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 Agent: Date: C ag 1131 ak> Lrd
C'.J a- -t w� Construction Authorization Expiration Date: o3l aya3
A building permit cannot be issued with only an Improvement Permit
�EN(N-J
1 PROPERTY LOCATION: 3�� HbV)Aintc- o
(Z
(sa 16
ISSUED TO:
—
ApUiICsei- l SUBDIVISION
LOT #
NEW I]
REPAIR J
EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �w4-,
4158
Sc'-> 4 QDsx,3as ACd2��tJ
Proposed Wastewater System Type: CCC
N%/. is t --az ael
Projected Daily Flow:
Cw 06
GPD ��s t.� 'n rJ (•.�[
m
Number of bedrooms:
�';
Number of Occu ants: 10 max
Basement ❑Yes
9�fo
Pump Required: []Yes
❑ No
May a required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
Iublic ❑ Well Distance from well Ntt feet Permit valid for:sfJ'Fsve
years
Permit conditions:
❑ No expiration
Authorized State Agent:�� Date: cn4I131 oZ 0li:� 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 requiremenu This
site is subject to revocation if the site plast 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 Dispoal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met Systems shall be installed in mrdance
with the attached system layout
ISSUED TO: �_ Q�Gre`crr_�r .t PROPERTY LOCATION: ` cYC 52 166'J
wv(31s SOBD) ON LOT # /a4
Facility Type: � • zi32 5FO_+� ❑ New Q�Expansion ❑ Repair �I-
Basement? ❑ Yes l� Basement Fixtures? ❑ Yes ❑ No h)ev,C—V-4��1 c s &4mo rr's
Type of Wastewater System** ( on Lwtoil C. -auoa_S 6 26 , 5 xs (Initial) Wastewater flow: GPD
(See note below, if applicable ❑�)+�
ryj. (,rcwd )4, - ja$b 14A- 5 1.4 - (Repair)
Installation Requirements/Conditions Number of trenches 11L 'i
Septic Tank Size l' SCS gallons Exact length of each trench S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 (o inches
Maximum Trench Depth of: �)S_ 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. TDH vs. GPM inches below pipe
Aggregate Depth: 01 inches above pipe
Conditions: 6r, Cotl o r 1 k" "6>uo A P42,V'� La inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR 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 app/icadon. / accept the rpeufcatiom of thin 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 tanslemed when there is a change in ownership of the site. This
Lonstmttion 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 Agent: Date: C ag 1131 ak> Lrd
C'.J a- -t w� Construction Authorization Expiration Date: o3l aya3
HTE# 14-5-- q)Permit # Q9g3q
Harnett County Department of Public Health
Site Sketch
/� PROPERTY LOCATOR: lcf3 <S Arcn�ya� lti
lnl- {, _5 156a)
ISSUED TO: RoYto G�cs-texLt �i SUBDIVISION LOT #
Authorized State Agent: Date:y # 11,3/40/8
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