IPAC RHTE# t i�� a�, Harnett Lounty Department of Public Heastn
Improvement Permit 26657
K)'6Z `t—i02°c ON A building permit cannot be issued with only an Improvement Permit
1 c' PROPERTY LOCATION:
ISSUED TO: - SUBDIVISION 5- o t C¢.oSS LOT # Ib'1
NEW'K REPAIR ❑ E.�ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ��� /. x j 3 a Li 1
�.o r
Proposed Wastewater System Type: oN-JE-- " ) o t3 PtiL
Projected Daily Flow: 3kO GPD
Number of bedrooms: Number of Occupants:' max
Basement []Yes >r�. 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 10O feet Permit valid for: Five years
Permit conditions: �— _ ❑ No expiration
Authorized State Agent:: %o� Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees to ua cgof other permits. The permit holder is respo sible 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 Im ment 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 conditi is`11Ye• i ..
�~��z-�5
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.
6t Stoca�ot4
ISSUED TO: PROPERTY LOCATION:
SUBDIVISION 0JT tvC- �sz os� LOT # t1
Facility Type: SAD �+x
ty yp - � New ❑ Expansion ❑ Repair
Basement? ❑ Yes -2� No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** C.o r JN C.r ) t3 NJ XL- (Initial) Wastewater Flow: \_ GPD
(See note below, if applicable ❑)
C-0 r4-g SSNs % U N AL (Repair)
Installation Requirements /Conditions Number of trenches i
Septic Tank Size 100 0 gallons Exact length of each trench 15o feet Trench Spacing: c"1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G--12, inches
Maximum Trench Depth of: \17 -z-i 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: ia. 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: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject o 'on 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 sub "ed to compliance wit r of the and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: R.G;�>S Date: —7))") 1 1>
Constructf Authorization Expiration Date: tG
HTE # \ ) —5 � R, Permit # 'QL(-� 'D—]
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: e(Zm v-L-5 ?---o
ISSUED TO: t-4 �CXLCG SUBDIVISION & C oL--, LOT #
� A
Authorized State Agen 'Dg Date:
N) N 13