IPACHTE# 0 - a-~ 0-7 f- Harnett County Department of Public Health
Imurovement Permit 2 6 8 67
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: .S' tLVFrz-5 r~ott,.3% Qt1_
ISSUED TO: ~~=~++r S= Z.M- V LZ SUBDIVISION t t-N e S j. 4, m, LOT # I(,
NEW ❑ REPAIR ❑ EXPANSIONS Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F---^ 05^c ,NC. C-- S;"o gal PSo®-,T e -t
Proposed Wastewater System Type: -'X !o 0.EO u c.- io ~4
Projected Daily Flow: 1-`lr O GPD
Number of bedrooms: ~ Number of Occupants: max
Basement ❑Yes M No
Pump Required: ❑Yes ~:N No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community , Public ❑ Well Distance from well- C) O feet Permit valid for: 'X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: `ikv Date: \ i 5 11'k. SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of of mits. The permit holders 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 Perm all 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: --S~ N 07-G5;L, v L-1- PROPERTY LOCATION: S ti L.vcn4Saa2 NE
SUBDIVISION Tsr-- Svmm:s LOT # 1
Facility Type: Exts~~~-+ro 5F7 -"-A ❑ New X Expansion ❑ Repair
Basement? ❑ Yes IX No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q-4~>°10 V-Z~C3 UC.-5r Sy(Initial) Wastewater Flow: Q GPD
(See note below, if applicable
ul Ce ~540M ®CLN(„ oN rNIL- p~CZ rn~ (Repair)
Installation Requirements/Conditions Number of trenches I.
Septic Tank Size C=o, %,a- N,-4r, gallons Exact length of each trench aab feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 inches
Maximum Trench Depth of: 36 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 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 specifled is different from the type specified on the app/icatiom / accept the specifications of this permit.
Owner/Legal Represents ' ture: Date:
This Construction Authorization is subject to rev cation a site p lat, 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 so to compliance the f t aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: PZN5 Date:
Constr n Authorization Expiration Date:
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ISSUED T0:
Authorized State Agent:
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Permit # "moo
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