IPACHTE# ICU-5--- -?6S Harnett County Department of Public Health 2 5 9 Q 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Aocc)-
ISSUED T0: WYc3~.r Co.~s-st?a,tosy SUBDIVISION _QtaNE o Yt~ncr,s LOT # l1
NEW REPAIR ❑ EsXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVQ (SQ O~
Proposed Wastewater System Type: Psl rn e 'Ta 91 G~
Projected Daily Flow: _2:~> cQ GPD
Number of bedrooms: ___3Number of Occupants: JQ' max
Basement ❑Yes ANo
Pump Required: Aes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 00 feet Permit valid for Five years
Permit conditions:
~ ❑ No expiration
Authorized State Agent: The issuance of this permit by the Health Department in no way guarantees the i ce
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp,
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: -3J131 )0 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
lement 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, .1956. 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: \,J `l, CoNSCCLVG'-~ Zt,l PROPERTY LOCATION: ~fl~-OG~G
-cwoES SUBDIVISION F10t-Aaa - 5~ ecrr2 LOT #
Facility Type: SVO t'QCT%a New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** PyMrf-Co AK,0E2- (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
LPG (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size t oo C) gallons Exact length of each trench 85 feet Trench Spacing: G Feet on Center
Pump Tank Size coCXO gallons Trenches shall be installed on contour at a Soil Cover. (o inches
Maximum Trench Depth of. 1 191 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: _\4K%c, 1-NNe S )5Tc h ~)c inches total
M~ty ~NGn-QA~st]y ~rl ,N~ ~~ALnfL PA1n li ~J 1 O' Ljzr% laSTp( 1~. GAS rv~E AwD `~YA~L 1L ~Q
N6 t7 caC2, dtTr~yliOtNGS W1>.-~- RM1'CSC:~ON ~Hiy
**If applicable: l understand the system type specified /a different from the type rpecired on the application. l accept the speclibtlona of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r in if the 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 su to complian t on the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 3 0
ction Authorization Expiration Date: 316
HTE# I C) 5=a3 76~ Permit # X59 g
Harnett County Department of f--~iblic Health
Site Sketch
PROPERTY LOCATON: P~occ~C,
ISSUED TO: W Y Rs A Cc v2 UL~ ~C) H SUBDIVISION ~iosvE V I.CrS LOT #
Authorized State Agent: Q v4LvV 62. ` (03 Date: 3 T CJ
T
t= JJ p
~ lrYf-~ti n,
x'10 Aft~.a, f
X~
131j ~
~35
Lp~
4z-lr~a~a, /
LLB C.~fitL LSv .
DD~tnn o of EwbmmgK Fid and NAWW Raomca
On-Sits Wadewdw SCWM
sOIIJSM IVALUATIO14
for OR-SiTi WASTLWATf,I#t SY8TZM U1 ~S
Owner: Applicant
Addeaw DNe wed: a) d \
1XI Uc os Of 31k 3 °~a~o•~ 1949Y. `mod
Wlfiratnatloo Method; PbbliQ 13 bmmm [3
'Ype ukwaeer: #Sg*W ❑ WuMdd Prooes
sheet;
Popettp D.
Lot t
File k
Code;
fity size:
Well Cnt 0 spit ❑ othw
8 Mind