IPAC RRHTE# 1L1'�J 3 }�Gj 17�,Q Hari,, t County Department of Public 11alth 28330
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
` r PROPERTY LOCATION: kill, y Dray LN
ISSUED TO: W %f N N Co NslSUG�� L Q 1 T SUBDIVISION -rgont-n= LOT # LiO
NEV;K REPAIR ❑ —EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _SvO (Gil )
Proposed Wastewater System T e: v.an s ;1S o SCON
Projected Daily Flow GPD
Number of bedrooms:Sc v"j Number of Occupants: max
Basement ❑Yes XNo
Pump Required:Ves ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X, Public ❑ Well Distance from well L inn feet Permit valid for. '�Zive years
Permit conditions: LJ No expiration
Authorized State Agent:: v�Ju
Date: 'a.. l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Deparnnent inn n guaraeither. The permit holder is respomi H for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, r the mien hall 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 TreSpznent pnd Dnp a con i of it.
Required for Buildine Permit
The construction and instillation requirements of Rules .1950, .1953, .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 1
ISSUED TO: \h/k4N C�tvsScZjFG�T0�1 PROPERTY LOCATION: Y�Nsvc�gy Lf Dezt,�
.��{ SUBDIVISION Al�CU ��DG LOT # 40
facility Type: `J �i �O K r o "'� New ❑ Expansion ❑ Repair y,E�
Basement? ❑ Yes 14 No Basement Fixtures? ❑ Yes �Ik N y,
Type of Wastewater System** PQ m0 p�%e �E�yGSS d nl (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) e
P \ O (D -S /d Y -W (Repair)
Installation Re uirements/Conditions S oAa o Number of trenches 3
Septic Tank Sizes t�CO I ons Exact length of each trench S` O feet
Pum Tank Sl ioo0
Pump g Its Trenches shall be installed on contour at a
Maximum Trench Depth of: a?' -30 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft TON vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. Sa— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
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.
.1f applicable: / undewand the system type speciled it different from the type spec&ed on the app/icarcm / accept the rpecilcat/anr o! this permit
Owner/legal Represen a' ture: Date:
This Construction Authorization u subject to revs nn site p a4 or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authoritarian is : compliance with rovisio and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State gent: 124Date: !
4C�+•Sco , �4 , - Irl Construc Authorization Expiration Date:
HTE# �1 t'S-31-1 151 R'2 Permit # 3.Y331C�
Harnett County .Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: VZ".6 v C"4 --y L +�
SUBDIVISION\2o`sC-ILS 0 LOT# LAC'
�Ot-)vca TO Ly. "OCD Date: 6 1S
Qe�.sry ��is1 tv pL �S
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