IPAC RHTE#c`-50i,55 4 fDR Harnett County Department of Public Health
Improvement Permit 26503
A building permit cannot be issued with only an Improvers ermit
PROPERTY LOCATION: ~twZZ
ISSUED T0: ~"~i~^~7^ bra SUBDIVISION CJ m \ S LOT # 0 16
NEW EPAIR ❑ . EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1) - "A ~rs~
Proposed Wastewater System Type: 9L S
Projected Daily flow: 6 GPD ri
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 2t3No
Pump Required: ❑Yes ❑ No ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well NQZfeet Permit valid for: Five years
Permit conditions: /`r+ctA oz)n sA' ll~w&® 14~" - Mid"r\kArr'- tk\\ S- CA S71f3 0 , ❑ No expiration
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Authorized State Agent:: Q ~ 1rtS Date: Q3-`C)\4- ft\\ SEE ATTACHED SITE SKETCH
The issuance of this permit by the ealth 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 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 layout.
ISSUED TO: l~~ t~ t2~1 ,V\ S, n oir c s PROPERTY LOCATION: Cbc"s R 4
SUBDIVISION Co 10 /V 01 1 H I S LOT # egg
Facility Type: i9- New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes r62~ No
Type of Wastewater System** a `J.y aaca'k (Initial) Wastewater Flow: iQ GPD
(See note below, if applicable V)
Installation Requirements/Conditions
Septic Tank Size k 2Cc gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs. _
Conditions:
0 Lll~-'> L-r (Repair)
Number of trenches
Exact length of each trench 0 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 19 r~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: _c~_ Feet on Center
Soil Cover: K, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
TL:, r....«..„;e,,.6,,.;-;.„ rt -ki- t~ .o nr~6en if tho can nInn slat nr tho intandad ❑co rhnnoac. ThP rnnstmrtion Authorization shall not be transferred when there is a chance 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 r SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: N- 04
Construction Authorization Expiration Date: 03- 0-i 0,
HTE# Permit # a6
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 4-R eJ SUBDIVISION C.-n 1 zv-,, P, ` ,IBS LOT #
Auth rized State Agent: n.-1, 145 Date: aU\ k
521