IPAC RHTE#M-S_~b :5P, Harnett County Department of Public Health 2 4 5 3 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~0 k S~ cvy
ISSUED T0: si t ' 6 S N`~s~1L'C ic5~ ~rV SUBDIVISION LOT # f-l
NEW_ REPAIR ❑ EXP SION El Site Improvements required prior to Construction Authorization Issuance:
Type of S tructure: _ Sic O
Proposed Wastewater System Type: P u r,,,9 i ; Gc> r~~
Projected Daily flow:Q GPD
Number of bedrooms: 3 Number of Occupants: _ C, - - --_max
Basement ❑Yes No
Pump Required ;RYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >R Public ❑ Well Distance from well _V_feet
Permit conditions:
Permit valid for.
~K five years
❑ No expiration
Authorized State Agent ~-S Date: 3 s F SEE ATTACHED SITE SKETCH
The issuance of this permit by 71h., ealth Department in no way guaran s the issuance of other permits. The ernut 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, .1951, .1954, 1955, .1956. .19ST, .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: r,vyczvc`,'12v 1*'C- PROPERTY LOCATION: ~tOSllry
SUBDIVISION `C^.LL LOT # N-1
Facility Type: SCE Cab x New ❑ Expansion ❑ Repair
Basement? ❑ Yes J~i,, No Basement Fixtures? ❑ Yes ~ No
Type of Wastewater System" Q vN4_10 A<- XJP -~~;O (Initial) Wastewater Flow: 3~,CJ GPD
(See note below, if applicable ~--Q Q (Repair)
Insulation Requiremertts/Conditioes
Septic Tank Size t bo 0 gallons Exact length of each trench t0 d feet Trench Spacing: Feet on Center
Pump Tank Size 101:70 gallons Trenches shall be installed on contour at a Soil Cover ~ inches
Maximum Trench Depth of. 1a _ 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: h. TDH vs. GPM _ inches below pipe
o y~ Aggregate Depth: inches above pipe
Conditions: M tN , 7 C t oF CovEc, ~~CL-b6ID 0 V 6,-L b tZ Dssr~ rT`, L9 inches total
" It applicable: / understand the system type speciled is different brom the type foeciled on the app/ication. / accept the rpecipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject revocation T 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 Au orization ubl c fiance 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:
Date: ~ ~ 6'~
fonstruction Authorization Expiration Date: 4
L3
H T E # CG 6Z, Permit # ~-2iS3~
Hcarilett County Department of hiblic Health
Site Sketch
PROPERTY LOCATON: H01
ISSUED TO ~►u~~~s~N. ~p lr,L SUBDIVISION
LOT #
Authorized State Agent Date: 'd ~t lid
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