IPAC RHTE# �%S -a"1i Harnett %.ounty Department of Public Heaftrl
Improvement Permit 26672
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: rp►y CL, QZ
ISSUED TO: 76 tea yij .v 1-tiX.N No tS SUBDIVISION re �t+No,s LOT # 4 G
NEWX REPAIR ❑ EXPANSION ❑ 9 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: me"-4 , �y�c� cnG �3 � 'k1--jJ /
Proposed Wastewater System Type: rytm 1C ®uicic-4 9L.US art dOPW-0 )_o-� erX0r \t,P, G11aK.g�Z
Projected Daily Flow: 3 Q0 GPD
Number of bedrooms: 3 Number of Occupants: (eo max
Basement ❑Yes ',No
Pump Required:45yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L ®0 feet Permit valid for: X Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: _��� - — -A Date: -11a�r I ) I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmen i u,� grantees the o Ter permits. The permit holder is respo ible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the inten use cc mprov em it 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 Treat mnt and Dis to con i o
Con struCcO uthorization
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: wort w Q Pt*%lL -A*.:\ P�t4\70"\5 PROPERTY LOCATION:
SUBDIVISION f E ' 'N"OrAps,, LOT # LNC,
Facility Type: 4 . Ord L'� -���b� New ❑ Expansion ❑ Repair
Basement? ❑ Yes '>k No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** Pu C_�ti"t_'? GA- )ft,66rL M'*04S -101Q - (Initial) Wastewater Flow: 1,'_0 GPD
(See note below, if applicable ❑)
eu" o ( 1-i} Y C —Aa cL (Repair)
Installation Requirements /Conditions Number of trenches SEE N0T6
Septic Tank Size `00 ® gallons
Pump Tank Size 1.D O10 gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench 100 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. Q inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: " 1 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggre ate Depth: inches above pipe
Conditions: ®^�r`re n. `E �n, ;cz p.Gxocz4 i`jcC� Q� S , rc w' 1 g-yo 70 b)sc,V5> inches total
Ica, EP. 1 o IFi r 4 iP, , )i —IN-y o % N-4 I Lt_ Qz6- _ cl. -sm-"A C.
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 speciled is different from the type speciled on the app lication. / accept the speciTcations of this permit
Owner /Legal Representative i Date:
This Construction Authorization is subject to revocation if t la , t 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 t mpliance the ns s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent- Q6Y,5 Date: 11-4 ( I
Construct) Authorization Expiration Date: J 6
�C