IPAC RHTE# 11- 5— �6`'53�� �. Harnett Lounty Department of Public .sealth
Improvement Permit 26652
)N (_A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:() 4e<L) -11 1-4-:5
ISSUED TO: � U ° ate' z- � SUBDIVISION S7 6N G Q, .Oo 5 LOT # tCY�
NEW,X REPAIR ❑ f ANS ON E; Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S BCD �-t4 J�A 5 ;K-�
Proposed Wastewater System Type: �o aj° O �ovG�Vos�J
Projected Daily Flow: '��4 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required:'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well l C® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: —1 Na l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Dq�gment in no way guarantees the iss a of ther 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 ti 'iueQc a changes. The Impro cent 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 nd this permit..
i ttt
Conners ruction 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 cs 1N
ISSUED TO: PROPERTY LOCATION: C yE-a "lLL�
SUBDIVISION ; o t; 04Los5 LOT # M-A
Facility Type: c +�`?Y� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'J5?, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" P u tnQ o Zi„S0%0
(See note below, if applicable ❑)
c� °`a Q-6Ovc.-"00+J (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 1 to p D gallons Exact length of each trench 40 feet
Pump Tank Size 1-010® gallons Trenches shall be installed on contour at a
C�7 U � �,y E ®c�>-, 'C' >� Maximum Trench Depth of: �� �a inches
su,Q c, Q, (Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
(Initial) Wastewater Flow: 3 (-Z) GPD
Trench Spacing: G Feet on Center
Soil Cover: rc, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Q
Conditions: �t:a.ch�s Fees C)%-J � YQOCQ nip� 2bm �QPL` ' � L555
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.
inches below pipe
inches above pipe
1a- inches total
* *If applicable: / anderrtand the system type speciped is different from the type speciped on the app lication. / accept the specilcationr 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
Authorized State Agent:
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Date: —
Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
`',
Permit # DA 9�
H(arnett County Department of Public He(alth
Site shetcl)
PROPERTY LOCATON:
ISSUED TO: O(I;S Q TA 1uG SUBDIVISION S'T�f— C.Q.055 LOT #
Authorized State Agent:
Date:
Qno m(,wiqs- v2A-4 (--