IPAC RHTE# 11- 5.2.6131 Harnett LOunty Department of Public Heafcn
Improvement Permit 26671
ri06t'Sd �1 4 ui�lding permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: ' SUBDIVISION S o ra6- (emu, 5 j LOT #
NEWV REPAIR x EX SID ❑ rx �t Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sq, C) v,
Proposed Wastewater System Type: a�' /a ovc.K,o g4
Projected Daily Flow: 36 ® GPD
Number of bedrooms: 3 Number of Occupants: Ca max
Basement [--]Yes ><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 td (t) feet Permit valid for:
)4Five years
Permit conditions:- -- ` \� ❑ No expiration
Authorized State Agent: 1 Si Q� 6 Date: -1120 1 1) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departme o way Ruarantees the iss - other permits. The permit holders responsitle for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, itt4,he i es. The Improve 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 Tre me and Disposa o c sy ermit..
iR, -4vsE 516 13 5
Consction Authorization
Required 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.
R Q'.1 � S•a G.r
ISSUED T0: PROPERTY LOCATION: 0YQzaks1-.5 QD
ca� 9 ,�c 33 xNi SUBDIVISION S"c C) N� �-OSS LOT #
Facility Type: New El Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** as, V.- Q-&o v G°S t. a N S�E� (Initial) Wastewater Flow: GIRD
(See note below, if applicable ❑)
e-r--'O v C;-\ 10 J4 S15T sl\ (Repair)
Installation Requirements /Conditions Number of trenches _ I
Septic Tank Size t.To ( X) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
r�^^ t ,
ons: _MIN iK1�7M b 0 I
Exact length of each trench a.�S� feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: `2- inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: O Feet on Center
Soil Cover: �_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
_ 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: 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:
This Construction Authorization is subject to revoc
Construction Authorization is erect to compliance
Authorized State A M
�ttsE� 5)613
the site pl "VI or the intended use changes. The Construction Authorization shall not be transferred
he " ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this lu
V—E's Date: i
Authorization Expiration Date:
Date:
there is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE # I I -5- 1 L
ISSUED TO:
Authorized State Agent:
111trilett County
Permit # aCCI )
Dep.'ru-tinent of Mtblic Health
Site Sketch
PROPERTY LOCATON: C)
SUBDIVISION '2Y y LOT #
)46 (Cluvul- —i bLy*150 0 L�)S7 Date:
3 �v (.- r