IPAC RHTE Harnett County Department of Public Health
Improvement Permit 27480
A building permit cannot be issued with only an Improvement Permit
_ M PROPERTY LOCATION: q�I
ISSUED T0: �Sf�P�� -, f. SUBDIVISION LOT # a
NEW R REPAIR ❑ EXPANSION ❑
Type of Structure: S(- a (9 & XS 'c
Proposed Wastewater System Type: Q. � rry --J,
Projected Daily Flow: ,3 b0 GPD
Number of bedrooms: �7 Number of Occupants: max
Basement ❑Yes 9190
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Pies ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ltd public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
0-Five years
❑ No expiration
Authorized State Agent:: ZZZ- -o, .� 1 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by th Health Department in no way guarantees the issuance 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 Improvement 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 and to conditions of this permit..
Construction 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.
ISSUED TO: 7-. /t'1`,q., PROPERTY LOCATION:
SUBDIVISION
Facility Type: ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes Q No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** po/yXp 4-G as Z keal -34111-11 �.f/ (Initial) Wastewater Flow:
(See note below, if applicable ❑)
d.I-% fyJ'At -. (Repair)
Installation Requirements /Conditions Number of trenches -3
Septic Tank Size /000 gallons Exact length of each trench `70
Pump Tank Size /013 0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 16 - Z7-
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
feet Trench Spacing: 9
Soil (over: 6 -k)
LOT # .2
3 c GPD
Feet on Center
inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: 1 understand the system type specified is different from the type .specified on the app lication. / accept the speciflcationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this /permit. SEE ATTACHED SITE SKETCH
[Authorized State Agent: c Date:
Construction Authorization Expiration Date: 6 ti 2 b o 18
HTE# zl- 5' a -M/t- A**
Permit # o2.7 S/&�
].nett County Department of Public He4altll
Site Sketch
PROPERTY LOCATO
ISSUED TO: SUBDIVISION
Authorized State Agent: Aellv, Date: 91Z
7
LOT # Z