IPACHTE#l6 SSU(, O Harnett County Department of Public Health 28806
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
"�PROPERTY LOCATION:/S�r. l S
ISSUED TOj R06e440 ls`L644e3 SUBDIVISION LOT # /:5
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: I.l.i 61, 14
Proposed Wastewater System Type: S5 -
Projected Daily Flow: 3C00 GPD
Number of bedrooms: S Number of Occupants: max
Basement ❑Yes EX No
Pump Required: []Yes ❑ No MM 'be required based on final location and elevations of facilities M/
Type of Water Supply: El Community fJ Public El Well Distance from well feet Permit valid for. M/ Five years
Permit conditions:
❑ No expiration
Authorized State A G iY ( A-ilA4iC-Z - Date: 3 -19 - / / SEE ATTACHED SITE SKETCH
The issuance of this permitppy tha ealth Depw nt in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject in revocation `if'ifie site plan, plat or the intended use changes. The Improvement Permit shall not be a8eued 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 construction and installation requirements of Rules .1950, .1951, .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: /Vt -n4ez /''I64 PROPERTY LOCATION: S
SUBDIVISION USS 7 LOT # 0
Facility Type: 'L)LAD/n4,J+ M New ❑/ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q No
Type of Wastewater System** ?_,S°`nC trZv1� X1/7 s (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Z��� L tZQl7 (Repair)
Installation Requirements/Conditions Number of trenches 2 -
Septic Tank Size D D d gallons Exact length of each trench 1 SO feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of 2c4 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. TON vs. GPM
Aggregate Depth:
Conditions:
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
L- inches total
**If applicable: / understand the system type specified is difereot from the type spec/bed on the application. / accept the sperih'rations of this permit.
Owner/legal Representative Signature: Date:
This Conswnion Authorization it suspect 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 compliance with the provisions of the Laws and Rules forSewage Treatment and Disposal and to the conditions of this permit Stt AI IALHILD Slit SRLILH
Authorized State ,g, eennt. �'—' Date: 3-1 L4 - f (o
Cs _�'`' -' -.fir
11
% Construction Authorization Expiration Date: 3 - / !4- U
HTE# 116—<-- 3 $01r6 Permit # Z 8 S U �,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: AW 9, S
ISSUED TO: ZJW,ia-Aat,*196 \SUBDIVISION E LOT At (3
Authorized State
Date: 3— 1`1— I
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