IPAC RHTE# `�_- 5 -� �`� -A R Harnett Lounty Department of Public HealLn
Improvement Permit 26660
�� aw.l 1 AA building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: —Q yErL -, 1ti t S Zo
ISSUED TO: SUBDIVISION G2o5 5 LOT # 110
NEWX REPAIR EXPANSIQN CI
Type of Structure: `3F ® '-1 Site Improvements required prior to Construction Authorization Issuance:
_ �. x 3`d x fi
Proposed Wastewater System Type: ( a c` * G �--o s.tv NS 1 eNPL
Projected Daily Flow: 3 6 ® GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required:As ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l®® feet Permit valid for: XFive years
Permit conditioDS: ❑ No expiration
Authorized State Agent:: S Date: l� \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder respo Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, ar ed �chan,,,*�Therllmpove e r P ermit 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 an Disp nd pt..
�
ion
Renujred for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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 T0: - - s--- PROPERTY LOCATION: ®v -\u.,-> ?,t,
SUBDIVISION 5 v o r,� F- GAua5 LOT # 116
Facility Type: ���� "J ��16 f, New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X, No Basement Fixt
Type of Wastewater System ** V r4r\ 9 -- o
(See note below, if applicable ❑)
Installation Requirements /Conditions
Septic Tank Size U oQi '�) gallons
Tres? ❑ Yes X No
,J N -. (Initial) Wastewater Flow: GPI)
N -N\d- (Repair)
Number of trenches -1a.
Exact length of each trench -)9- feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of. �N 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: p �-c �EQ (�,,, P6at 14® �;z- c2U,� C'l �c;s�, �t5:s L-5,-5 'a 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 app lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to 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 k4ect to compliance t " ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Age Date:
E'- �t 1sc� a� } ,1y Constr on Authorization Expiration Date: v l�
HTE#
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: c%v \ uLS
ISSUED TO: SUBDIVISION -Z r,E C,czos s LOT
Authorized State Agent: Date: "� t 1UTA 1\
Ste£
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