IPAC RHTE#a - 7 zc Harnett County Department of Public Health
Z6 3o~ Improvement Permit 2 6 5 2 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /q/Z- : ,5 y'-
ISSUED TO- J`; L) r~ ~n~ -;;kD C SUBDIVISION 21i) Lg4~rg LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: fi 4._ 3A~
Proposed Wastewater System Type: P * 4z'-) -
Projected Daily Flow: Y9,0 GPD
Number of bedrooms: c Number of Occupants: max
Basement ❑Yes 10 No
Pump Required: Yes ❑ No be required bed on final location and elevations of.tacilities
Type of Water Supply: ❑ Community Public Y Well Distance from well 00 feet Permit valid for:10/Fi've'
0 Five years
Permit conditions: ❑ No expiration
Authorized State Ag • ~ -1 I'll, Date: '7 'I ° I 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 T0: ,3 i r r-~n- PROPERTY LOCATION: % d~✓ 1~ d~
Facility Type:
Basement? ❑ Yes 19 "'No Basement Fixt
Type of Wastewater System**
(See note below, if applicable
0111-1
Installation Requirements/Conditions
SUBDIVISION 1,I 'e> ZA-le LOT # "f
5 New 1:1 Expansion 1:1 Repair
2res? ❑ Yes L'( No
(Initial) Wastewater Flow: 0 13 GPD
Oati) V ~-(Repair)
Number of trenches 2-
Septic Tank Size 1 2c, 0 gallons Exact length of each trench I S-b feet Trench Spacing: Feet on Center
Pump Tank Size ,d C 6 Z, gallons Trenches shall be installed on contour at a Soil Cover: _ inches
Maximum Trench Depth of: 2 't 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: `L inches above pipe
Conditions: ! inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstrucnon 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 Agep(- ~,/,I Date: % - -
Construction Authorization Expiration Date: 1
HTE# 1 = L %1t Permit #
a,I eAt ounty Department of iblic Health
Site Sketch
PROPERTY LOCATON: /Wr~zi~,cl~
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent., - Date:
19v