IPAC RHTE# o-1- GIC Harnett County Department of Public Health
Improvement Permit 26669
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-6r.vCL
ISSUED TO: H0-,1C-_L-1- Fsa-y4l~N205 SUBDIVISION G A+°5~ n,ES S LOT # 4_
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (IZ6 -LA )
Proposed Wastewater System Type: a SYG $ P VGK t 0 A S YS i B-M
Projected Daily Flow: 3 (od GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well > C30 feet Permit valid for: X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 1 21 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ' ce f other permits. The permit holder is resp sible 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 Imp cement 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: ~p-,2p5
Facility Type: 5F"~--) (svnHCS)
Basement? ❑ Yes '-f~r, No
Type of Wastewater System** _
(See note below, if applicable
1K New
PROPERTY LOCATION: F-.E AlOr-L s e~c t-
SUBDIVISION G P e,,o LOT # '-A O
❑ Expansion ❑ Repair
Basement Fixtures? ❑Yes No
2+5°'lc ~E(> V C:7; ) Q N 3 y S r--- n
~S'°/o ovc=~~ es rs S •J5 S tA, (Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size L <nQD d gallons Exact length of each trench a6 d 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:
(Initial) Wastewater Flow: 0 GPD
Trench Spacing: Feet on Center
Soil Cover: G, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
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: /understand the system type speciped is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject t ion 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 suJs~flllhx-compliance with, ' 'ons o e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Yz.&-tvS Date: '.o Y3
Con ion Authorization Expiration Date: t
HTE# Q)l -S" 16-1 U,24-- Permit # ~(66~-' 9
Harnett County Department of iblic Health
Site Sketch
ISSUED T0: PROPERTY LOCATON: L- EscVGL i23 I-P-1 C Y ` b
► l VW -t,L vJA2p SUBDIVISION LOT # 0
Authorized State Agent: CtiC1(111--),q eq,'10 5 Date: ~ > \
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