IPAC RHTE# 1 O Sy a~4 arnw County Department of Public health
Improvement Permit 2 6 2 3 5
A building permit cannot be issued with only an Improvement Permit
L~L~L PROPERTY LOCATION: 5coh+S C o55 Q6-4.
ISSUED TO: ~ `V c rt S44 o 6_5 SUBDIVISION S , - EGR-0.53 LOT # 3
NEW`X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5FP -,;)L)
Proposed Wastewater System Type: Q~R.4 0°~nuc~~bh!
Projected Daily Flow: 3ChC~ GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes ANo
Pump Required."21 Yes ❑ No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well K)Q feet
Permit conditions:
Permit valid for:
x'l Five years
❑ No expiration
Authorized State Agent:: ---1, \t~~ Q.~~+S Date: 8 13110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit holde is re onsible 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.. Cis
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: SIONGC,(21055 PROPERTY LOCATION: STONv --Cz05S Zia-
SUBDIVISION SYer4 C-.CP-osS LOT # 3
facility Type: 5~® lt-aZ9~`~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q U cif 'To 1EO UG'S t 0 s T &r" (Initial) Wastewater flow: 3 GPD
(See note below, if applicable _
9 un>2 ~ b Q1;>% T-4 S~LO(Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size tc~<s C gallons Exact length of each trench 55 feet Trench Spacing: ~1 Feet on Center
Pump Tank Size t o 0 U gallons Trenches shall be installed on contour at a Soil Cover: -1~ inches
Maximum Trench Depth of. I%-a1} 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: 1>~>S~62M~~ 5~ Osr ~azESPa~AL~Qotr,~4P ~co,t~S inches total
L Jce k 6-V -
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: /under fond the system type specified is different from the type speci>ed on the application. /accept the fpecipcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r1vocn4Qf the site <anan, 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 *Lc lcomplianceNk& is ot*LLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: R >3 0
Const tion Authorization Expiration Date: 13 ) 5
HTE# S ~ Permit # C-5---11AVOR,
Harnett County Department o i b ic, Health
Site Sketch
PROPERTY LOCATON:ONGG2p5~5 U2
ISSUED T0: ' o NG SUBDIVISION STV~c~ruutis5 LOT #
Authorized State Agent: - S ~Otw'SOU<snOS~ Date: 13 1~
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