IPAC RHTE# fo~5-awl w~ Harnett County Department of Public Health 2 6 0 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N C~
ISSUED TO: ~e•cu3s?~--4y? tL SUBDIVISION Ea Gen, LOT # 5
NE~,K REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~e~~ooz✓ ~1'~ 16
Proposed Wastewater System Type: C c~~vE ~c~rs4.~
Projected Daily Flow: b0 GPD
Number of bedrooms: Number of Occupants: -70 max
Basement ❑Yes XNo
Pump Required: ❑Yes ~Eq No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~f Public ❑ Well Distance from well t O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: :,~Z~y e L Date: 5 O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance Cher permits. The permit hol r is r sponsible 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 T0: $Prt au~, CPC ~,Q~(.Lr
Facility Type: New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** Ca w.r L,-, c r, r, L_
(See note below, if applicable
(Initial) Wastewater Flow: 1 O O GPD
wcw~t~Ro krx (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size S X00 gallons Exact length of each trench aO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Iq inches
Maximum Trench Depth of: a0 ---10 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: ~1 PCs 1.~ Vr)i v5 : $ ~Q ~~pt~,~~ rv ~U Sys cE_", e z , L NI ~ F la inches total
~~)+caOACrI C)N
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the ,rpecipcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subj revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not ha transf-M when thnrn i, .h e w _ .:...u:.
Construction Authorization is subj compliant visor the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: e-E15 Date: ~~>a
Cons ction Authorization Expiration Date: 5 i
PROPERTY LOCATION: '\-A C-- a~
SUBDIVISION P-pGP _ 11 SW LOT #
❑ Expansion ❑ Repair
N5e, No
HTE# 1 0 ` S- a`-ti lLj Permit # a603 'I
Harnett Conntti Department of I-Niblic Health
Site Sketch
PROPERTY LOCATON: N C 971
ISSUED TO: g ~P.~wP_Ctt SUBDIVISION Eo"g, Sc~~-s.♦ LOT # S
Authorized State Agenr. o~Ys ~t,v[~ SC>b~spp~ Date: 51 Sa►10
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