IPAC RHTE# Ol- 5 °�"lls3t-��. Harnett County Department of Public stealth
Improvement Permit 26851
A building permit cannot be issued with only an Improvement Permit (�
PROPERTY LOCATION: N1�c�aq 1Qwea-.
ISSUED TO: "� sue' -s �. SUBDIVISION iP a.-�'cG LOT # _
NEWX REPAIR _ EXP ION / ❑ , � Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: r r N
Projected Daily Flow: ' S GPD
Number of bedrooms: Number of Occupants: 4' max
Basement ❑Yes No
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1- ®® feet Permit valid for: five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department ' guarantees the issuance o ermits. The permit holder is responsille for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intende use es. Improvement Pe hall 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 Disposa o conditi
Constructs 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.
W E,S "5 Ot4.f CO
ISSUED TO: 1-qx.s0 �c�c:s PROPERTY LOCATION: �cfZo \owwG2�
-.),%1 SUBDIVISION `75 �6C,th 9 10, (.C; LOT # ')
Facility Type: '5' E D x� New ❑ Expansion ❑ Repair
Basement? ❑ Yes Est No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** C)sJ,1 E sr \ d rt ii> . (Initial) Wastewater Flow: 3c co- GPD
(See note below, if applicable ❑)
� SvJ c ts: " c) sv Sx\_ (Repair)
Installation Requirements /Conditions Number of trenches _� 4
Septic Tank Size ®`�`� gallons Exact length of each trench S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. &L't--3�o inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 4z) Feet on Center
Soil Cover: 1Jt: aJ� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
�O inches below pipe
inches above pipe
�- inches total
* *If applicable: l 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 s evocation 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
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: Date: )Z11 N
,�, t 6I on Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# - --q)-3 (-., Permit # Ifs5 )
Harnett Connty Department of 'V blic Healtb
Site Sketch
ISSUED
WC:.'S1�N �..CJevSI�VG;t6tl
Authorized State Agent:
PROPERTY LOCATON: `C-Ro G2 F�
SUBDIYISIOr -y- E Qa-Q,c LOT
Date: )2h I }�
'SOU 6t-K,3 P CR -F—.S