IPAC RH T E # t 3- s -5a 'l2 Harnett County Department of Public Health
Improvement Permit 27279
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 4uG�X ®S
ISSUED T0: ��ZN� o r.t �� osV, SUBDIVISION G G Ci s LOT #
NEW REPAIR [� _ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFC) y� �SroJ
Proposed Wastewater System Type: as°lo -50uCcf o r>
Projected Daily Flow: 3toO GPD
Number of bedrooms: 3 Number of Occupants: Ic max
Basement [--]Yes ;KNo
Pump Required: ❑Yes ❑ No J50ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '�k Public ❑ Well Distance from well feet Permit valid for: „Five years
Permit conditions: �_��` ❑ No expiration
Authorized State Agent:: �`�� � �QLL 6 Date: '31 lfl 13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ermits. The permit holder iskresponsible 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 Improvement '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, .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: G, y Qb,ot�, ,MOMS PROPERTY LOCATION:
1 SUBDIVISION w a O��s LOT # Q-
Facility Type: S �� ���Sz}� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1 k No Basement Fixtures. ❑ Yes NN o
Type of Wastewater System ** a5 °f, Reevc;t o J xs%M (Initial) Wastewater Flow: 3Co GPD
(See note below, if applicable ❑)
L-�P--e (Repair)
Installation Requirements /Conditions Number of trenches t
Septic Tank Size t C>ct>O gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour ate Soil Cover: G inches
Maximum Trench Depth of: 1w inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
�� T1 >> Aggregate Depth: inches above pipe
Conditions: �O�' C` — �� a� ®' �a �T l o r,\ 3 v rJ 13, inches total
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.
* *If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Re resentative Si nature: Date:
This Construction Authorization is subject to revoca to 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 su�to Iiance �e pr Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 71�111- 1aS Date: 3 4 13 --
Construction thorization Expiration Date: 3 14 1 1$
ISSUED TO:
Permit #
M�
Harnett County Department of Miblic Healtfi
Site S-ketch
PROPERTY LOCATON
Authorized State Agent:
5 LOT # G2�,
GWEN OAKS LOT 62
Project No. 11,11832
LAYOUT FOR 3 BEDROOM HOME
MARCH, 2009
FLAG
FLAGGED
DESIGN
LINE #
COLOR
BS (ft)
HI (ft)
FS (ft)
ELEVATION (ft)
LINE LENGTH (ft)
LINE LENGTH (ft)
TBM
5.0
100.00
INSTR. 1
105.00
1
ORANGE
2.60
102.40
90
90
2
YELLOW
4.50
100.50
96
90
3
BLUE
5.60
99.40
90
60
4
RED
6.50
98.50
80
60
5
ORANGE
8.00
97.00
60
60
Total
416
360
SOIL
LINE
LTAR
SYSTEM
LTAR
INNOVATIVE
LENGTH (ft)
GPD /FT2
TYPE
GPD /FT2
SYSTEM
DISTRIBUTION
System
180
0.50
INNOV.
0.50
EZ -Flow
GRAVITY TO
D -BOX
Repair
180
0.50
Innov.
0.50
EZ -Flow
GRAVITY TO
D -BOX
Notes: ** TBM AT LOT 61/62 FRONT EIP
* *TBM is assumed to be 100'.
* *All measures in feet.
* *Nitrification lines are demonstrated on contour via colored pin flags.
* *BS, FS indicate rod readings.
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