IPACHTE# 950 Harnett County Department of Public Health
Improvement Permit 26325
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: oic( UI"(/Q
ISSUED TO- (:~r'snv-A CZ.^Q- zn SUBDIVISION LOT # _
NEW [Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J-f--'b 7r;L 1C 3
Proposed Wastewater System Type: cs~T t =c L
Projected Daily Flow: y GPD
Number of bedrooms: Number of Occupants:? max
Basement ❑Yes eloo~
Pump Required: ❑Yes 13,No ❑ May be requireddbb wd on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public E Well Distance from well / (JO feet
Permit conditions:
Permit valid for:
2- ive years
❑ No expiration
Authorized State Agent:: 4 5 , /",-7L, c, _v_~C"ftd Date: a /1 C l Zc) f/ SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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: dCJ" e-tom C -It Cc-J1+<--"VA PROPERTY LOCATION: 01cl US- '/Z/
Facility Type: J F `3
Basement? ❑ Yes ❑ No
Type of Wastewater System** _
(See note below, if applicable
UT"New
Basement Fixtures? ❑ y(es
CQALuc.I~-ca
Installation Requirements/Conditions
Septic Tank Size CSC! C) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
pair)
Number of trenches -7
Exact length of each trench 2- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: PZc/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: Sl80 GPD
Trench Spacing: Feet on Center
Soil Cover: / inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: -tC! 1c, be- V'%30" cc- cca, Qa.~
inches below pipe
-7- inches above pipe
/2 inches total
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.
**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 subiect to revocation if the site Plan. Plat or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownershin of the cite- Thic
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 Date: -Z
Construction Authorization Expiration Date. C-Q<
SUBDIVISION LOT #
❑ Expansion ❑ Repair
rl Nn
HTE# r 5` 7() Permit # ~Z ~Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: /B~t A12i ~e.s~ `•1~'~~ SUBDIVISION ' LOT #
Authorized State Agent: Date: x" t'.
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