IPACHTE# 1 5- 5 --5QC7 Harnett County Department of Public Health 28332
Authorized State Agent: �5 � N \���5 Date: r- 15 1 15- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu �f other permits. The permit holder is r ponsible 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: `G-NQ:J q1% r,3
L PROPERTY LOCATION:
Improvement Permit
A building permit
cannot be issued with only an Improv ment Permit
43
Facility Type: ��`�5"S �-' S�"p
'E.r1r
A G
PROPERTY LOCATION: G.E26'J AY
CA2,oJ_1 R1a "_�,.
Basement? ❑ Yes No Basement Fixtures? ❑ Yes , No
a5 1 ��` 5 Exl
ti
ISSUED TO:
"1N
SUBDIVISION 50 rte
LOT # —�
NEW ❑ REPAIR ❑
EXPANSION
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: E-'< -,g K � h C -Z� �--q
�
Proposed Wastewater System Type:
Q-�/ r o .> , o 0 rA
Installation Requirements/Conditions
Projected Daily Flow:
GPD
Septic Tank Size (I gallons
Number of bedrooms: L�
Number of Occupants:
max
Pump Tank Size VCDZC_) gallons
Basement ❑Yes X No
Soil Cover: \"� inches
Maximum Trench Depth of: 3�
Pump Required: ❑Yes ❑ No"
ay be required based on
final location and elevations of facilities
(Trench bottoms shall be level to +/-1/4"
Type of Water Supply: El Community
� Public ❑ Well
Distance from well t OG feet Permit valid for:
X Five years
Permit conditions: - _
❑ No expiration
Authorized State Agent: �5 � N \���5 Date: r- 15 1 15- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu �f other permits. The permit holder is r ponsible 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: `G-NQ:J q1% r,3
L PROPERTY LOCATION:
L'Ir3
SUBDIVISION Ca,Q-o -»%
0ma. Y�1` LOT #
Facility Type: ��`�5"S �-' S�"p
❑ New X Expansion ❑
Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes , No
a5 1 ��` 5 Exl
Type of Wastewater System** r
\l e.: ��,
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
> �
l
��GL p O
�
, (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size (I gallons
Exact length of each trench G.,0
feet Trench
Spacing: Feet on Center
Pump Tank Size VCDZC_) gallons
Trenches shall be installed on contour at a
Soil Cover: \"� inches
Maximum Trench Depth of: 3�
inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
MW
36" above the trench bottom)
in all directions)
v
Pump Requirements: ft. TDH vs. GPM inches below pipe
` , Aggregate Depth: inches above pipe
Conditions: �Utc+� �t<Z-r-'l� �EG-p�D , Z--1+JC_ N ►�Css inches total
,?7, F_ -,-/ V t`r> t -'t ® '
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: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect_to revocation if the site plan, Diat, 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 s4Lest;o compliance rovisions of,41e,_Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C18
Construction Authorization Expiration Date: G
HTE# \<;" �-- �F%-
Permit #
■ Countyea
Site Sketeii
ISSUED T0:
Authorized State Agent:
PROPERTY LOCATON: t_'►3 �'LGG2b p� .r,J
_ SUBDIVISION
(Quqw:—, Date: GIs)
1S