IPAC RHTE# 14-5--5`-4�,Ci Q, Hari—a County Department of Public ..ealth 28026
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
(Zogg7;. a Svx,,w 51►vxngYGSL PROPERTY LOCATION: Soo -i),
ISSUED TO: r T t SUBDIVISION — LOT #
NEW REPAIR El E%P#N�ION ❑
Type of Structure: SC9 �a6`6r
Proposed Wastewater System Type: ca5" o D J CC s o R
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: Je2 max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community > Public ❑ Well Distance from well 0 feet Permit valid for: Xfive years
Permit conditions: ❑ No expiration
Authorized State Agent: tis Date:g Sy SEE ATTACHED SITE SKETCH
mit
The issuance of this permit by the Health Department in no way guarantees th ther pers. The permit holders resp nsible for checking with appropnate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes The I erne sh a 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 Dupasal and to conditions of this permit a
�G*.s �J
Construction Authorization
(Required for Building Permjtj
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 he met Systems shall be installed in accordance
with the attached system layout QOQ�� 1 S�9wJP+N St.�.ng1CGCf_
ISSUED TO: PROPERTY LOCATION: So ✓S1 C4. 14Cof L
5Fq SUBDIVISION — LOT #
Facility Type: i's` New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes '10o
Type of Wastewater System** zvSVa Q£ovcn i u r Sy-a-sc�5r (Initial)
(See note below, if applicable ❑) (��
to vL'ri0 sJ (Repair)
Installation Requirements/Conditions Number of trenches 111_
Septic Tank Size to 0 o gallons Exact length of each trench rc6 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth oF. %%'30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Wastewater Flow: 3�0 GPD
Trench Spacing: `l Feet on Center
Soil Cover.—IR inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / imderrtaad the swem type specified it different from the type tpecibed om the application. / accept the rpecircatiom o/ thit permit.
Owner/Legal Represen ' ' azure: Date:
This Construction Authorization is subject to ' n ' e 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 Auihonzavun to < k wish t of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
thori ent: 4G3�5 Date: s7
4T,cc)" N•} zj )5 ConiiWilyn Authorization Expiration Date: 8 e
HTE# ��r'� 3L1���J� Permit # a�OZ
Harnett County Department of 11iiblic Health
Site Sketch oo
PROPERTY LOCATON: SaJ� �'JFrz D
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent:
IWA
—TOL Date:
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