IPAC R, HTE #/! µ-s"= 2,7765-4 Harnett County Department of Public Hearth
Improvement Permit 26543
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED_ TO- l b()J _ 4— 6 kA 'j Ke- i1 SUBDIVISION LOT #
NEW Q REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -Fib
Proposed Wastewater System Type: M11W77 7RC ID Z �v
Projected Daily Flow: Y0 0 GPD
Number of bedrooms: A Number of Occupants: ( max
Basement ❑Yes No
Pump Required: tz7Yes ❑ No L MMae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well iOO feet Permit valid for: 0 Five years
Permit conditions: ❑ No expiration
Authorized State �ealth Date: / 0 — ZZ � — 1 � SEE ATTACHED SITE SKETCH
The issuance of this Department in no way guarantees the f 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, .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: % thti) rayx 1' Ke I Icd PROPERTY LOCATION: 6'U `Z-Coq � 4
SUBDIVISION LOT #
Facility Type: SP,1� i New P Expansion ❑ Repair
Basement? ❑ Yes I No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System ** >`4T�e J-D Z�504,- t LFW3 3 s i-Q , (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
(Repair) `
Installation Requirements /Conditions Number of trenches 2
Septic Tank Size /opQ gallons Exact length of each trench IZO feet Trench Spacing: Feet on Center
Pump Tank Size i 00o gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: V 7 19 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
6+ inches below pipe
Aggregate Depth: 2 inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 from the type specified on the app /icatiom / 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
Lonstruction 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
f
Authorized State t: Date: 1 _ '°' 10��l -3
Construction Authorization Expiration Date: -=1 f 0/0