IPAC RRRHTE# N1-- 1 arnrtt County Department of Public wealth
,Mfl s� Improvement Permit 26746
A building permit cannot be issued with only an Impro ment Permit p
I 1 PROPERTY LOCATION: ` \ CA—) c JGA>_.o W
ISSUED TO: SUBDIVISION 5uennaLy-�iLz_ LOT #
NEWXI REPAID ❑ EXPANSION 171 Site Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �C--� a
Proposed Wastewater S stem Type:, -' ' ' 2,5"�� v�% } N
Projected Daily Flow: GPD 3L0
Number of bedrooms: Number of Occupants: max
Basement ❑Yes A No
Pump Required: ❑Y s iK No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: unity Public ❑ Well Distance from well 1Q --Q feet Permit valid for: No
ive years
Permit conditions: expiration
Authorized State Agent:: Date: t f 1 t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmen in no way guarantees nce of other permits. The permit holder is r ponsible for checking with appropriate gover indies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intende es. vement Permit shall not be affected by a change in ownership of th �pemilct co liance with the provisions of
the Laws and Rules for Sewage Treatment nd Dis osaI a itions 1
af t u � fzcY s� i I }' S ,
Constructional
(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. Y"N®gf
ISSUED TO: t`tN 31) PROPERTY LOCATION: to 60 c u 6 PL
SUBDIVISION Sv m me2i-\11.1., LOT #
Facility Type: �5� %iSoxSOn� ><New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes �No `3�
Type of Wastewater System** r - D%-01 ca U cz o (Initial) Wastewater Flow: ��_ GPD
(See note below, if applicable ❑) 2�-S°(� ( v �,; c �) J
KVZ-- � n 517�zL^ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ti U® O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench`Tf—')�' q a feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 14 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: `1 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION' MUST BE ]OFT. 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
�a. inches total
**If applicable: / 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 sable vocation if the site pIan, 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 Jo compliam�W:itt t1 onL. e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this perniL \_ SEE ATTACHED SITE SKETCH
Authorized State Agent Date: S �1'? I)
�jCo tion Authorization Expiration Date:
HTE# Permit #
Harnett County Department of 11ablic Health
Site Sketch
M�
ISSUED TO:
Authorized State Agent:
Qj,N-NG60 S � Y),)I)(
PROPERTY LOCATON: n J) 0 b, 6 1,. L� Q-0
SUBDIVISION S rn Ervva > L2. LOT #
V �-S Date: 0 -AZO
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