IPAC RHTE - -s -26y r7 Harnett Lounty Department of Public Heailh
Improvement Permit 26658
A building permit cannot be issued with only an Improvement Permit
�'� PROPERTY LOCATION: 0 yESL�i�Lts
ISSUED TO: s� ' SUBDIVISION o'e0 ,a C— 2,c9S5 LOT # 1 ON
NEWX REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S"qQ M, L13 ^30,
Proposed Wastewater System Type: f 3 i 0 �a 'ys stern
Projected Daily Flow: "'�i 0 GPD
L--)l of bedrooms: � Number of Occupants: max
Basement ❑Yes `I No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well V4 O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 7: Date: `1 t 1s-1 \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce of other permits. The permit holder is responsible 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 Imp ement 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 andZcon�trepermit..
ion 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.
ISSUED TO: S, ���t--c_- PROPERTY LOCATION: 0yE2
I �,,, SUBDIVISION Td ,G�osS LOT # 101 Facility Type: ST C) `� ` yo� L43 "3`L' X New ❑ Expansion ❑ Repair
Basement? ❑ Yes "IK No Basement Fixtures? ❑ Yes o
Type of Wastewater System ** e la (�E. ®vG�1 p r, y S-�� 4\ (Initial) Wastewater Flow: L�N ® GPD
(See note below, if applicable ❑)
ti sy �i tl!'6m (Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size 1 ®d0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G —)—J, inches
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM C, inches below pipe
Aggregate Depth: inches above pipe
Conditions: \-41 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 app lication. / accept the speciTcations of this permit.
Owner /Legal Represen a m -Signature: Date:
This Construction Authorization is subject to revoca' 'f 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 subje Iiance with r ' o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: -1 i0
Cons ion Authorization Expiration Date: - 1f-
HTE# , I - 2'6c'b2 -1 Z-
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: E2l � 1 I--t..5
ISSUED TO: S ,nom 1_ SUBDIVISION LOT # a
Authorized State Agent: Date:
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