IPAC RHTE# OS~s - ~E 3r? i R Harnett County Department of Public Health 25231
LOCATION.
ISSUED TO: Ut 3 C( SUBDIVISION r2C) T k -s LOT # ~~7
NEW~1 REPAIR El EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J 3 P~
Proposed Wastewater System Type: 2ff, 4
Projected Daily Flow: 34, 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes No
Pump Required: ❑Yes E] No ~ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ ommuniq Public ❑ Well Distance from well 1 Q_-3 feet Permit valid for >1 Five years
Permit conditions: A ( c El No expiration
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Authorized State Agent:: Y~lh if--Date: `7-SEE ATTACHED SITE SKETCH
The issuance of this permit by epartment n nThe permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if , plat, or the intended use changes. The Improvement Perm t 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, .1951, 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: ay nG SS ~j PROPERTY LOCATION: -S-
SUBDIVISION ~ A~ 7- jolq 5 LOT # &27
Facility Type: V4 a - 3 QIZ- , Npw 11 Expansion ❑ Repair
Basement? El Yes El No Basement Fi tures? El Yes ~ o
Type of Wastewater System" N, (Initial) Wastewater Flow: GPD
(See note below, if applicable
L f- ,+4-~ S -(Repair)
Installation Requirements/Conditions Number of trenc es I_
Septic Tank Size 000 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 19-24 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: _9 Feet on Center
Soil Cover: 1inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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:
• '°°r-• • • .a•, , « pmu, wa4 of om uianueo use Wanges. ine sonstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authonzation 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
Authorized State Agent: r~ ~ Date: 2 0
Construction Authorization Expiration Date:
Improvement Permit
A building permit cannot be issued with only an I Fovementr--Permit
PROPERTY
HTE#~ ~L'~ 2 Permit # 57 OUI
Harnett (bounty Department of Public Health
Site Sketch
PROPERTY LOCATONJ i Zf
ISSUED TO: C ,hcs SUBDIVISION O(Zeir LOT # Ia~7
Authorized State Agent (1- C,& Date:
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