IPAC RHTE# 1o-5-at-,s"~o R Harnett County Department of Public Health 2 61 4 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: GLS~ E 12)U UrAy,%-o rA ~-n
ISSUED TO: G ~ec~P•5 SUBDIVISION CGS hr \~k ) LL LOT #
NEW REPAIR ❑ E NSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'Z C) ~S I - -5` ~
Proposed Wastewater System Type: I& ' L&h QEou c.. vo r, 5 T5ne",
Projected Daily Flow: 3 O GPD
Number of bedrooms: _5 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well VQ G feet
Permit conditions:
Permit valid for
Five years
❑ No expiration
Authorized State Agent: Date:S SEE ATTACHED SITE SKETCH
The issuance of this permit by t 'Health Department in no way guarantees the issuance 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 Permitl
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: C:) i Cy(7'-A rnc+y
PROPERTY LOCATION: Q14k
E ?)Q0 RN0N L+J
SUBDIVISION
LOT #
Facility Type: 5f0j 5) >(57-0
X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** a.5~lo
~SJvc,<\o J4 S-,tSS~,~
(Initial) Wastewater Flow: 36O GPD
(See note below, if applicable
35r'lo
9-6Q uvc scr r.t Ste) s ; E,<-\ (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size o o gallons
Exact length of each trench %150 feet
Trench Spacing: Feet an Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. 1-1- VI inches
Maximum Trench Depth of: aLA30 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
l, Aggregate Depth: inches above pipe
Conditions: o5'C ~6 T-(->0m SEPSNG S ,T~M a VS tit: inches total
**If applicable: / understand the system type specified /s dihrerent from the type specified on the application. / accept the rpeciflcationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, Dlat, or the intended use chances. The Construction Authorization shall not hr tramforrad whon rhos k a Ann- in ownarthin nt the tiro Thit
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 .4 Date:
Construction Authorization Expiration Date: .
HTE# ~O~Ssa-Lti~°~4 Permit # '6114~~
I-larnett County Depal- llent of M-lb is Health
site Sketch
PROPERTY LOCATON: C1-sNE. Svc, L.
ISSUED TO: ~ E ~~o r~AS SUBDIVISION C) N r o~mo N LL LOT #
Authorized State Agent: Date: 7 Ir i4zle u
~ 30
C) v-3 C~
yes
-,'o 1