IPACHTE# I I- "11-1 Harnett' Lounty Department of Public Health
Improvement Permit 26491
A building permit cannot be issued with only an Improvement Per it
t PROPERTY LOCATION: Mi'~2x5
ISSUED TO: W y N N ~f NS SQ.UGS iG SUBDIVISION Co ac' Ec~ Fr ~ LOT #
NEWA REPAIR ❑ EANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Srer'G) (L)u 1a' C?n,,y,r,~y~ >d ~i. ~sGaC~t Fa1n~
Proposed Wastewater System Type:
°1d lint m ONO
Projected Daily Flow: 3~ ® GPD \ c~ ~~Atar~ fr~~yjJ Qs,.- ~T s5 o('_J3
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes iE No 14S -7~" L_0 i, (a ~ I
Pump Required: ❑Yes _TKNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I Public ❑ Well Distance from well l0 O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ - 1 Date: 3 -IN ) ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance her permits. The permit holder is respo Bible 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
Reauired 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: W `x rAN C6I'S-,3: Q-y VTN 0 N PROPERTY LOCATION: v%v- ~"6 e
SUBDIVISION Coop E3,S 5,z.,tm LOT # a41
Facility Type: S~®"~`-}lam New ❑ Expansion ❑ Repair
Basement? ❑ Yes Z, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 5 T, r-- rc\ (Initial) Wastewater Flow: 36~ GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size ~ 0 c) as gallons Exact length of each trench 1'g O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 118 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 application. / accept the specifIcations of this permit.
Owner/Legal Representative Sign Date:
This Construction Authorization is subject to revocation if 'te lac, 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~sulto complia vith tfa~pn t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v S' C Date:
Constru k n Authorization Expiration Date: t-a I
HTE# 'YD Permit # Ul)cO
Harnett County Department of iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: \4ANV4- Ns~ UG tip SUBDIVISION CocP~25 ern LOT #
Authorized State Agent: L-1-4 Date:
ur.C.
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