IPAC RHTE# ,� -� �~� Harnett Lounty Department of Public Health
Improvement Permit 26652
)N (_A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: (-)>fE;qLh1)1.11.
ISSUED T0: SUBDIVISION 5-i i b N L CA, 0 r;,5 LOT # t
NEW REPAIR ❑ AN ON C) Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ''(D
Proposed Wastewater System Type: -1'0 ��° b 1'covCz 1ot�
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement [--]Yes ANo
Pump Required:�Mes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 OQ feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ���' � ��� `� uM5 Date: -11 ht ) � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health D tment in no way guarantees the is�her permits. The permit holder is resp nsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, pl t or t Nej n ges. The Impro ent 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 Tr atment and ncl t this permit..
FI tr t �S6S� -7
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: PROPERTY LOCATION:
SUBDIVISION S ; o Ne- O-ALCI-'�5 LOT # �
Facility Type: �>' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** Pum4�o a �o (2 � ; ON S-) 5- -'a'm (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 6 b 0 0 gallons Exact length of each trench 40 feet Trench Spacing: Feet on Center
Pump Tank Size Lae7d gallons ` Trenches shall be installed on contour at a Soil Cover: r,, inches
t� U � �} K-i ® rr„ "�C9 Maximum Trench Depth of: 1 �a inches (Maximum soil cover shall not exceed
I?4ZQ C.Q. � �t�t. � *� (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
Q Ag regate Depth: a inches above pipe
Conditions: q�.a.cc, cri F� Esc Q� Y�Ro�— ;c^ Qp -` %P''`��S �--5` 1Q— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 /rom the type specified on the app /ication. / accept the specifications 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 ovisio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE Al IACHED SITE SKETCH
Authorized State Agent: R..t15 Date: n ) ► ___,,._,_,
Cons tion Authorization Expiration Date: -al I
HTE # \I —5 �— Permit # 146 ED,
ltarnett County I)epartment of 1"liblic Hetalth
'Site 'Sketch
PROPERTY LOCATON: n
ISSUED TO: S�!) 0(1^ Q tA l "P4 (Z' SUBDIVISION S-TQNKf— C-9-0's5 LOT #
Authorized State Agent:
1,-A71 I
Date:
I