IPAC RHTE# Ni- 5-2 -iV71 Harnett County Department of Public nealth
Imarovement Permit 26750
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: M �c"�awErz
ISSUED T0: ...�rsaw ri - il�rn°5'it�+c SUBDIVISION LOT #
NEW 'X REPAIR ❑ EX NSION 11 r Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VO � a `1 ^'4-
Proposed Wastewater System Type: " -4
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes -'SL No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community, Public ❑ Well Distance from well i 00 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: �) Date: 11 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Hea ent in no way guarantees the issua k�@ other permits. The permit holderfiis r sponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the -1ftn44 use changes. The Improve m ermit 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 Treatent an an n permit..
Cons6tittion 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 la�outt.
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ISSUED TO: ` - �� PROPERTY LOCATION:
`� SUBDIVISION 1 ir4 LOT # �S
Facility Type: SFp "J'{ New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�K No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** rc t6 -K KL-. (Initial) Wastewater Flow: �� GPD
(See note below, if applicable ❑)
C- 0"-tiJG "r-T o r4 P- L (Repair)
Installation Requirements /Conditions Number of trenches a
Septic Tank Size f ®®P gallons Exact length of each trench 71 S' feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. NV 3-6 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
C, inches below pipe
ra, inches above pipe
1,a, inches total
* *If applicable: /understand the system type speci>ied is different from the type speciped on the app /ication. /accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to rev if the site �,, 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 suf too ccompliance`w.� t o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
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QIG�15 Date: 12
Authorization Expiration Date: 1-D�
HTE# N1 -5 a ? 1°1�\R, Permit # QJ69s-4
Harnett County Department of i lic Health
Site Sketch
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ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: M�C.(�-'�4C,� QD
SUBDIVISION ' 4 Q� ,� 9 -A ga— LOT # Q.5
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