IPAC RRHTE# I S-5--3-7'414 (XML Harnett County Department of Public Health 28637
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: �i s fl 6C -o Irl nY
ISSUED TO: SUBDIVISION A LOT# Sb
NEW REPAIR ❑ E&MIION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S �O �'-��y'-lT
Proposed Wastewater System Type: DS -/,,s PCoQ(!�- k r Sy ;E.s-,
Projected Daily Flow: 3ss' d GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes 'R No
Pump Required: []Yes -�S! No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well t 00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: ' f y SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guanntees c-i�ana of ad�er permin. The permit holder 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 Permitt
The construction and installation requirements of Rules .1950, .1 s52, .1 9S4, .1 95S, .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: \1EP+`sGn.' PROPERTY LOCATION: xOC6oy7 VJPAy
r SUBDIVISION � s-, oil) M ANcXL LOT # S
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baserne t FixtKes? El Yes )KNo
Type of Wastewater System** a� 10 14-e�o y C% T U N S Ys %f-rr� (Initial) Wastewater Flow: 3607 GPD
(See note below, if applicable ❑)
PU m P a x�. 70 IiZ� Srt5 (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size IOOd gallons Exact length of each trench '�z-la feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of: h% 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. TDM vs. GPM
Conditions: pee ,t ji�P,
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the s}rtem type spedfed is different from the type speciTed on the app/kation. / accept the spec/icatians of this permit
Date:
This constructions AutAorhauon is subject so re nation i plan, plat or the intended use changes. The (onsauttion Authorization shill trot be transferred when there is a change in ownership of the site. Ibis
construction Authorization is s mmpliana the provisi the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: PLUS Date:
F t l b
(ons t ren Authorization Expiration Date: _ 1 a) _,_
HTE# Permit #
Harnett County Department of 11"ublic Health
Site Sketch
PROPERTY LOCATON: NANC)G�—ON MN
ISSUED TO: / SUBDIVISION v"Oc<PA5 MPt cZl— LOT# 10
Authorized State Agent: Date: 51.7114
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