IPAC RHTE# 1-5~-Z-7<i~ 3`Z Harnett County Department of Public Health
Improvement Permit 2 6 5 3 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:- '5-/-- 6 rzo
ISSUED TO: L l / *Zbq 004ff~ SUBDIVISION A1~ LOT #
NEW REPAIR ❑ EXPANSIO ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25%
Projected Daily Flow: GPD
Number of bedrooms: - t' Number of Occupants: max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No P! MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L~1 Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration lt~z Authorized State Agen : 4- - Date: 6 - fI I Q SEE ATTACHED SITE SKETCH
The issuance of this permit by Health 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: Lu" A4 r PROPERTY LOCATION: v aCf dtl C,
SUBDIVISION 62 l LOT # ~Y
Facility Type: cj 2 New ~ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System** 25"04 (Initial) Wastewater Flow: Y60 GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches
Septic Tank Size j 2~ea gallons Exact length of each trench C feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /S " inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover:, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2- inches above pipe
12 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 specipcations 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 chance in ownership of the site. This
lonstructeon 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 Stat Agent: Date:
Construction Authorization Expiration Date: t
HTE# 2-7-03Z Permit # 2&15-32
Harnett Clounty Department of Public Health
Site Sketch
PROPERTY LOCATON; -1511 ins -
ISSUED TO: 6.~5 l ,L)C-Z. SUBDIVISION ic)" ~ 2 35 LOT #
Authorized State Age . Date: /g
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