IPAC RRRHTE# 03-15- aaaa . Harnett County Department of Public Health
Improvement Permit 2 6 8 5 8
A building permit cannot be issued with only an Improvement Permit{~_
PROPERTY LOCATION: PdN®~}r"I" 9l
ISSUED TO: ~~sTOCZ e,'S 1 o t~TT . (W QS VN SUBDIVISION LOT # .3
REPAIR ❑ EXPANSION X M,.►'%s'sc4~S Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C.t~pc)-j%,ua r. 4. '-'G> f N r- Proposed Wastewater System Type: C.a w v 6"'C ) 0 nt AZ-
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for: ❑ Five years
Permit conditions: a,g ks F~-►,s,a„r dr ❑ No expiration
Authorized State Agent:: ~N \
The issuance of this permit by the Health Department in no way guarai
site is subject to revocation if the site plan, plat, or the intended use changes.
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this
Date: I-)-X 3gj A) SEE ATTACHED SITE SKETCH
of other permits. The permit holder is respon ible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: ~FS~ca.~+'srct~.awC.,caov6N CWLN57 PROPERTY LOCATION: P6,t0Erw-541 ' Z
SUBDIVISION LOT # 3
Facility Type: ❑ New LX Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Co r," & ~t i1 a tj P, L- (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Ex.sS )NC. gallons Exact length of each trench -ES 00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. \2-- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: C-0 N 1JCav ).-'+'G "rd 1 AC- &10
L_, "a E. Cset: Q w a~., tN
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
~a inches below pipe
Aggregate Depth: inches above pipe
G inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specifcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re if the s Ian, 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 s complia ith "oos he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 ao it
Con ction Authorization Expiration Date: f9
HTE# ®-2>-5- ~'R4 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: QoNoE-CSN ?Z
ISSUED T0: , ~,ao ett psi SUBDIVISION LOT #
Authorized State Agent: CL~5 (p L) 4 ~oLY-'4D,pate: iZLI3xi IN
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