IPACHTE# ` ~ Harnett County Department o Public Health
rove et Permit 2 6 9 7 3
A building permit cannot be issued with only an Improvement Permit
C-0 PROPERTY LOCATION: :4 G~-~ w-}
ISSUED T0: c.o ~vS~ct.V G~ :v SUBDIVISION C3oc3co" ytl,.SaC~ LOT # I
NEW ❑ REPAIR ❑ EXPANSION 7 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Q a,-rN Q,L- Q F s , c-~ c 1 5 G ~ ua
Proposed Wastewater System T: as°t a
Projected Daily Flow: .9 GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes 'X No
Pump Required: ❑Yes >~l No ❑ May be required based on final location and elevations of facilities
Type of Water ❑ Community Public ❑ Well Distance from well i(M feet Permit valid for: Five years
Permit conditions: ❑ No expiration -3 -xi Authorized State Agent:: c-*5 Date: 11. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way trap he 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. tg 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 or this per it..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: C,>,;>Ca a5~2V PROPERTY LOCATION:
SUBDIVISION BPeco LOT # 46
Facility Type: QEs~ , 677 c Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q-,;;'°/o Rzvv >l o N y S.1 F K` (Initial) Wastewater Flow: Gc1 d GIRD
(See note below, if applicable .nn
C'"V t"1P 7® (Repair)
Installation Requirements/Conditions Number of trenches :a_
Septic Tank Size C sz G gallons Exact length of each trench 118 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 3 6 inches
Maximum Trench Depth of: L)ri 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: Q ~ o N Dsi- G tau RL-Q d~ ~~o v s~vJ'J inches total
`(~Q~' v'X C2-U5D V\ -I "T \11 Ctz Ste; iaN
WATER LINES (INCLUDING IRRIGATIONS UST RE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
N UTILITIES ALLOWED I INITIAL R REPAIR RAIN FIELD AREA.
*If applicable: /understand the system type specified is different from the type specified on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re 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 su ompliance WiQthe ' s `the and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: ,a:i a
Construc ' horization Expiration Date: 1
HTE # 1 l ° 5 -a 1--732,
Permit # ' ',;c ,_3
Harnett County epfartznnt oil' i b icy el th
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON:_ N~.•law~~~~~
SUBDIVISION LOT # 1 C~
'D (p Ll-q b-t- 7 of of ~ Date: a