IPAC RHTE# ~ 174 ~2 K Harnett t ounty Department of Public Health
Improvement Permit 26656
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C~vc~T~us
ISSUED TO: `a N
SUBDIVISION IE)r-, o s`t e A S,!5 LOT # T~ 6
NEW, REPAIR ❑
'EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S q9
Proposed Wastewater System Type: C
o r-" G T-A-S N n of N L
Projected Daily flow: tl~'%SD
GPD
Number of bedrooms: 4
Number of Occupants: 2 max
Basement ❑Yes No
Pump Required: ❑Yes No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
Public ❑ Well Distance from well k 0 ® feet Permit valid for: Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: 111311) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holder Is respoliisible 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 Improvemen it 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.
p fZ.> 10 ISSUED TO: PROPERTY LOCATION: 0 vFst,~'~1LL5 9np
r LiI4 SUBDIVISION S>~ ~t s-:~ LOT # ~4C
Facility Type: S'F ®lk~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Co r t.l 1-- -A-~ 1y r4 PnL (Initial) Wastewater Flow: 1O ~ GPD
(See note below, if applicable
w-f E--rte\o sit 9.t--. (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1 ® ®c? gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 2-'00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: V8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: a inches above pipe
tia 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 specifications of this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is subject ation if a site li~n, 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 isC~hbjr`~~compliance ' "one laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen vx-V Date: `7
Constr n Authorization Expiration Date:
HTE # i 1-5~ ~1a 5 Permit # _Q46 5G,
a'"S o ,mot ~ j-1 ~125~' 6? 6t~> E
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