IPAC-Replaces previous permit #25697HTE# cn-5Harnett County Department of Public Health 2 3 91 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FoNQ'EA os~. e.0
ISSUED TO: SUBDIVISION LOT # Q,
NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5EC7 b-
Proposed Wastewater System Type: Co.,rvE.rRb- a c.
Projected Daily Flow: __(.(0c2>9 GPD
Number of bedrooms: 5 Number of Occupants: 1 Z:) max
Basement ❑Yes No
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l O O feet Permit valid for: Five years
Permit conditions: w ❑ No expiration
Authorized State Agent:: vZik5 Date: 3, 1 1 C) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i of other permits. The permit 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, .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: Z~Ilny 5 V-ply PROPERTY LOCATION: PaavcE2as~. QZ
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C.o"qto rv a~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
C-0 'W &J r' 0"P'L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 13,,5n gallons Exact length of each trench 1-10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1'1~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth: _
Conditions: Wcccr-_a- UNc-_ Mac 96's- 1a' Eeor. S~rtc_ Sys'st✓c ~ ~ia~ Q ar.'-'~
~..oc.r✓ s p~.r, .-s a`" r °t r? . ~'~..r l ~ u E~ ~-t Q.F,~ u Es-c O F' 4~ oc~.o w ~~2
me es a ove pipe
1~i' inches total
U-tl~~.LCuR;f CG
sz,
- ~CLNC,y J P ~ Wo~~b $ ~o ~tczECT
If applicable: / understand the system type specified is different from the type specified on the application / accept the speci6cationr of this permvx
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 thorn k a rhanoa in nwnar,hh, „r rho it, T6f<
Construction Authorization is subject to compliance ro ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: =uucctionn Date: 3 3 t e
CAuthorization Expiration Date: 3)-31 t5
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
a h b
HTE# C)) -5-aid )3- Permit # a5o1 13,
Harnett Comity Depaftznent of Public Health
Site Sketch
PROPERTY LOCATON: PONop-2os~., 'pc~.
ISSUED TO: SUBDIVISION LOT #
U
Authorized State Agent
L~ ~0 Date: A3~t0
i
PONOE(Zpc)fl
N'C S