IPAC #2HTE# 09-! - z1~31 Harnett County Department of Public Health 2 5 4 4 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ ~ PROPERTY LO(ATION: S2 Z/C)/3
ISSUED TO: -Zt~,I~rSRrxAnl l'O}( SUBDIVISION LOT #
NEW 2" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5-F h
Proposed Wastewater System Type: 1!SLIA>.Yttrr `
Projected Daily Flow: V en _ GPD
Number of bedrooms: I-L Number of Occupants: a max
Basement ❑Yes No
Pump Required: es ❑ No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community rPublic ❑ Well Distance from well feet
Permit conditions: _ --Se~ f -tc 9~5 U '-'S /r 7 .'va-~ 7"-/
Permit valid for 9 Five years
;?0- ❑ No expiration
Authorized State Agen • w( Date: /U - 2~ - 6 ~ _ SEE ATTACHED SITE SKETCH
The issuance of this permit by t H Ith Department in no way guarantees the issuance of other permits. The permit holder is responsible for checkin with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if .plan, pla( 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, .1957, .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 co)C PROPERTY LOCATION: /,4J% 2-1c")
SUBDIVISION LOT #
Facility Type: _ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** 25"~/utZUt iz*1>~1 s~i°~ (Initial) Wastewater Flow: BCC GPD
(See note below, if applicable
x-/
Installation Requirements/Conditions
Septic Tank Size /aoo gallons
Pump Tank Size ! oao gallons
4:) 2 CS
y x /y
Pump Requirements: ft. TDH vs.
, _ (Repair)
Number of trenches ~
Exact length of each trench / OCR feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: ~o kji inches
(Trench bottoms shall be level to +/-1/4"
1W4Jt5- in all directions)
GPM
Trench Spacing: Feet on Center
Soil (over: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 1- inches above pipe
Conditions: snF')E' C.-~seb Sd~ ~~r, r~57 -/-L iZ inches total
*If applicable: /understand the system type specified it different from the type specified on the application. /accept the specipcations ol 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
Construction 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 Agent~~ ~':f Date: /o - 2-~ ` 0 2
Construction Authorization Expiration Date: /D -2f - /y
HTE# n5 -5 - Z / C.3 Permit # 5 °7 y 5-
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: ic}y dla~
ISSUED TO: SUBDIVISION LOT #
Authorized State Agen Date: /a -22 -D 7
A-" 9 r E 'z yl-y
,1JD' `l
--77 *
-14-5'~t
~ 24 l iv
F
I~
pile ~ 6 b G s
~ r'f'~
( ~F
aft'
L
lv~A f , p-
- a -2r )r- yz,. >~z
zc- ,ff s~ lbs. , 3 LexL- Z-
z - d - ig
0-op N6~ Z~_Zg'
st- r bt '
Zz- 3P sc L- N!5 4" - P,
q,K(cc,
A G~ ~Y
Zr~ Z
r
~
✓
e
R w a R( 1
75 r
c
t r
t ~
►s'
f ~
t0~
a
,s
2yp8~tz
,L'-7FR
F1 Sy,t~~
}a
to ((/t;A GX ;;114pf «{y
4
qq r ~ fi
r ~ ~ $nc - A @l~ Se ~ n =m 5
1
I LTArZ
400' Acla
tZit
. cTA i'-
~fc.
s~~slcn~ 1
)rt',,k off its/
~.,vn~il~ioAS ,CAS J
a ~ 4Ja ft f 4•.~
~(~otJGt l~wty-cu eck-C `P~""
e-, X55•
1 Zq(