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HTE# 4 Harnett wunty Department of Public Heath
Improvement Permit 26775
A building permit cannot be issued with only an J provement Permit
PROPERTY LOCATION: + ✓ IC A a-Ks' 4J.
ISSUED TO: S:.�tr ✓a -s'c, BQ,ac>.rI ,cxro.�1 A o. SUBDIVISION :Y-O- L -/t c, </r LOT # 3
NEW REPAIR ❑ /°C'K OO ,EXPANSION ❑ �5 'l (- 6 4— Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5-FO S FO o '6
Proposed Wastewater System Type: Pvf
Projected Daily Flow: 8 GPD _
Number of bedrooms: S fi I "74t' Number of Occupants: / max
Basement ❑Yeses�
Pump Required: CtisV'es ❑ No ❑ May be required baiied on final location and elevations of facilities /
Type of Water Supply: El Community El Public Well Distance from well / U O feet Permit valid for: 2' /Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: // a a// d ZB °l` SEE ATTACHED SITE SKETCH
The issuance of this permit blyHealth 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, .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: ..S r V o,Sa J5 GJ a r,%At ray PROPERTY LOCATION: k: r k / cj ,4,r
f SUBDIVISION J Q �- � o dt �� LOT # 3
Facility Type: S fi t) 8 ®X � s F6 V � uY� O New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'�No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** &'P +-,.4 'Z.5-7, /Zed0C-4.0n SS/f M (Initial) Wastewater Flow: 960 GPD
(See note below, if applicable ❑)
;-y7, rQaI u .o -T I7-- — (Repair)
Installation Requirements /Conditions Number of trenches .3 _
ASeptic Tank Size _ gallons Exact length of each trench -4-&-13 &0 feet Trench Spacing: �% Feet on Center
Pump Tank Size / 3 a gallons Trenches shall be installed on contour at a Soil Cover: `8 inches
S p� -,,-r ate fro d 9 titt �r Maximum Trench Depth of. / 8 -aZ0 inches (Maximum soil cover shall not exceed
3 FU K f OW) S att��rr (Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:e -(' QA
inches below pipe
Aggregate Depth: inches above pipe
"1 Syrf'f'--, inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O 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 lication. / 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 he 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: G .��% Date:
Construction Authorization Expiration Date: 1Z % 2 7 a/ 6 2 ZTf Z 017'
HTE # ? 9 J— R Permit # oZ �. 7 -7-r-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: k. r k Aj Ax
ISSUED TO: Sr , n `, V a-SCa 'NsA o. r , n %,,r SUBDIVISION t-o.A* I �zy LOT #
:
Authorized State Agent- o� Date: lel 021/ 2 /2 8 /o2o /y
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