IPAC RHTE# 5 Z 77Z7w Harnett County Department of Public Health
Improvement Permit 26 54 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: fifes eITet% . /Z1
ISSUED TO: ~ /Zer- C. ,61,,) SUBDIVISION LOT #
NEW ❑ REPAIR EXPANSION lif Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 7j
Proposed Wastewater System Type: Xcl` p Q f?~ asvl i
Projected Daily Flow: L1930 - GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes o
Pump Required: ❑Yes ❑ No LJ~Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Id Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
2/ive years
❑ No expiration
Authorized State A ntv Date: f j -
d t SEE ATTACHED SITE SKETCH
The issuance of this permit byfhe alth 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
y
site is subject to revocation if
rte plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in owne
rship 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: PROPERTY LOCATION:
S (VISION
LOT #
Facility Type:
' I El New Expansion El Repair
Basement? 1-1 Yes Q No Basement Fixtures? ❑ Yes No
Yes
Type of Wastewater System** 2 ~v VCA i C r ZS
(Initial) Wastewater Flow: ? GPD
(See note below, if applicable
jl 3~ +-CS1- -'4g<, 0--- (Repair)
Installation Requirements/Conditions Number of trer# hes 17-
Septic Tank Size n gallons Exact length of each trench 6 , feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of. 13 Y-7 J' 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: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
1 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 specired is different from the type speciped 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 chances. The Construction Authorization shall not be transferred when there is a change in ownershin of the cite- 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
<1 Authorized State ent: ~ P~ Date:
/y 73 it
6) Construction Authorization Expiration Date: l 1 3 - t (P
HTE# Permit # 2 ~
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