IPAC RHTE# /fo 5-- `o-~t Harnett County Department of Public Health
Improvement Permit 26540
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: *X/ YJ'2 ISSUED TO/ ter 'J"; Z/W") SUBDIVISION a LOT # NEW QA REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type:
Projected Daily flow:,. GPD Ana
Number of bedees s: Number of Occupants: max
Basement ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No IT P1 be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Five years
❑ No expiration
Authorized State A nt:: Date: lo-- ZK- t-f' SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 requirements. This
site is subject to revocation i e 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 T0:t~~r✓- PROPERTY LOCATION: ifr'Z Cs}~'.~
SUBDIVISION LOT # 7-
Facility Type: -ix 5f-'b _ Gew ❑ Expansion ❑ Repair
Basement? Yes ❑ No Basement Fixtures? L Y El N
ype o astewaterystem l' o [W--6 ` ~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
' M,,- ~CS2-wL-a 13-02c OEWE,-- (Repair)
Installation Requirements/Conditions Number of trenches t'; !W 5
Septic Tank Size 1 oo o gallons Exact length of each trench i Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a inches Cover: inches
Maximum Trench Depth of: cinches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Permit valid for:
Aggregate Depth:
inches below pipe
inches above pipe
f 2 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specired 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 to revocation 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 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 gent: /Yqyl--A % LWJ Date: 10- -Z-,f - t-1
Construction Authorization Expiration Date: to - °t i
HTE# jf- - 2 tt !}:!r"/Z Permit # 26 W
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 5XIJ12- (6 a C. jzj
ISSUED TO: c A)8 SUBDIVISION LOT #
Authorized State AgS Date: %0- 7-1 - it