IPAC RHTE#0-7 -5-16-?C-z,9 Harnett County Department of Public Health
Improvement Permit 2 6 6 6 8
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION:_ L--Erhy~a_ gt.c~G.~
IS~ ISSUED T0: _ 1°C.C~irr~,VL.. S~py-.p~ SUBDIVISION _ GQ,s6,ft~
NEW REPAIR ❑ XPANSION ❑ LOT # L4
X?"~~ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5TQ ( J
Proposed Wastewater System Type: Qu c"E' To t~U'5Z 1Z '.5
Projected Daily flow: '3 (a 0 GPD
Number of bedrooms: Number of Occupants: Cc, max
Basement ❑Yes No
Pump Required:ves ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 COO feet
Permit conditions: Permit valid for: ive years
ti. ❑ No expiration
Authorized State Agent:: Q-~h S Date: -1 2.~ N \
The issuance of this permit by the Health Department in no way guarantees the issua ther permits. The permit holder respo sible for checking with appropriate governing bodies Ain AmHED SITE egETements. This - SEE 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
(Rewired 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 T0: V-lCj w C- 1_:L_ pszp5 PROPERTY LOCATION: I--FFs~v62
SUBDIVISION G V-,- G g- C LOT # L11
Facility Type: e' ~C7 C 5cJx2-tU ~ New F-1 Expansion El Repair
Basement? E-1 Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** v cep o `~-~a~v o vcr. t 0 ri (Initial) Wastewater Flow: GPD
(See note below, if applicable
L_V 4P (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size { e'~O d gallons Exact length of each trench S 1.® feet
Pump Tank Size LO®o gallons Trenches shall be installed on contour at a
Maximum Trench Depth of l a., inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Conditions: G„ cjv cu i 6r , 4 da Ecz Aggregate Depth: inches above pipe
PQ-A,N~,r✓L
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 specified is different from the type specified on the application. / accept the specilcations 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 fonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subje~a co~mpliance~i" t e visions the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this ermit.
P SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date: ~L) `+l
0 uction Authorization Expiration Date: -
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HTE# Cal - JG-163~Z Permit #
Harnett County Department of Public Health
Site Sketch
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