IPACHTE# 15-531►1 Harnett County Department of Public Health 28542
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t^Eao0 Vrk320p1t L 0
ISSUED TO: 6Fp U ^r Sa ECL- SUBDIVISION Qc ;: a\QUALr i B i LOT #
NEW ❑ REPAIR ❑ EXPANSIONX Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1=,e A 55 I. -a t, 1-1a V s C
Proposed Wastewater System Type: C.eaV N 0,4
Projected Daily Flow: :e0 U GPD
Number of bedrooms: 5 Number of Occupants: l D max
Basement []Yes Wo
Pump Required: ❑Yes '*Et No ❑ May be required based on final location and elevations of facilites
Type of Water Supply: ❑ Cammuniry `,� Public ❑ Well Distance from well � feet Permit valid for, �ive years
Permit conditions: E�oo, rvfl,.a ts. o lZ Secce �M laoU-_rf- ❑ No expiration
Authorized State Agent:: ��� � \ e Q �l \� Date: 01 e3 C � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss they permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, 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 constmnion and installation requirements of Rules .1958, .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: PROPERTY LOCATION: VN6;>„DoWI�SQQ y= LK�
SUBDIVISION \W,Lo LOT#
Facility Type: C CssJncaG SCCA ❑ NewExpansion 11Repair
Basement? ❑ Yes X No Baseme/nt �Fixtures? ❑ Yes �(No
Type of Wastewater System** l erYJ6, d -� I ON I-, L (Initial) Wastewater Flow: X00 (7 GPD
(See note below, if applicable ❑)
6)d
-S Y if
p . S -Vg . (Repair)
Installation Requirements/Conditions
Number of trenches Y
Septic Tank Size 1 4s gallons
Exact length of each trench 1 la feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
_ GPM
Trench Spacing: °i feet on Center
Soil Cover. 64- _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
^�Aggregate Depth: inches above pipe
NIC- wNEv
Conditions: LPtG �*215'E\"4 SA , S ANK Qop inches total
Aao)�Iocvas_ t_, N�
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the ryrtem type speciled is different from the type rpeciled on the application. / acrept the specihcationr of permit
Owner/Legal Representativ¢`
This Construction Authorization is subject
Construction Authorization is subject to c
Authorized State Agent: _
or the intended use changes. The Camtrua A.Auth..c.o n shall not be transferred whei
laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
�16 Date: °I
Constru 'on Authorization Expiration Date: 5
Date:
in ownership of the site. The
SEE ATTACHED SITE SKETCH
HTE# 15-5— -3-7 11 ), Permit # 'cQ S;LQ,
Harnett County Department of Public Health
Site Sketch
PROPERTYLO(ATON: �1Cas�0W�S1f7J� t�
ISSUED TO: SUBDIVISION Azr-a.bo,L.p gvax�o` LOT #
Authorized State A¢ent:5 CouvC4 foLFSC��� Date:1�5
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