IPAC R26130
HTE# tom-a Harnett Lounty Department of Public Heath
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ` 00LoFStL OCL
ISSUED TO: W EP vC-<L ~Ev ~-t Capm~N SUBDIVISION S y rr M LOT # `:~l
NEW, REPAIR ❑ C-0 ~XPANSION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ( L,$'
Proposed Wastewater System Type: rcv IF-- \ 0 N N L,
Projected Daily Flow: ' ,0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 25~ Public ❑ Well Distance from well 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 issua
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
6 Date: iZ))i * v> _ SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Nt 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, .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 T0:
Facility Type: SV~) New
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes
Type of Wastewater System** C-ONJG -b N N L
(See note below, if applicable
Co N v ~r.t-c \ U N pi ~
Installation Requirements/Conditions
Septic Tank Size u O CD C) gallons
Pump Tank Size gallons
PROPERTY LOCATION: QOVL~flE2 9-1j
SUBDIVISION S J M r-1 V-'~ LOT #
❑ Expansion ❑ Repair
--'K No
(Initial) Wastewater Flow: Y-4 GPD
pair)
Number of trenches I
Exact length of each trench l O
Trenches shall be installed on contour at a
Maximum Trench Depth of. a' a'30
(Trench bottoms shall be level to +1-114"
in all directions)
feet Trench Spacing: Feet on Center
Soil Cover: Sa ' 1 inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM C inches below pipe
f Aggregate Depth: inches above pipe
Conditions: ~v5~ gE ~d F2ps,, ~~-psi, Sys _r ~J o U~1L inches total
**If applicable: / underftand the rvuem type specified is different from the type specified on the application. / accept the rpev6cationr of this permit
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 there is a change in ownership of the site. This
Construction Authorization is subject to comer i hero sins of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: C- Date: C' 10
struction Autho n Expiration Date: G t4
fLc~, o 7 ~x, to I-'00,c ~Y~
HTE# ~D-~-~8(0 Permit # a.b)3~j
Harnett County Department of Public nealth
Site Sketch
PROPERTY LOCATON: 230 u L-,o
ISSUED T0: ~Ev cY.6~ C SUBDIVISION S V MM \ LOT #
Authorized State Agent: ~Q1.vV 'SOU{SOOC2~ Date:
la's
CU N v 6 ~ ~ 0 N P R, EP tt.
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