IPAC RRHTE# )6-5Harnett County Department of Public Health 28786
Improvement Permit
A building permit cannot be issued with only an Improvement %JJ�t
PROPERTY LOCATION: t BOSS o
ISSUED TO: a vr,QL A 1 J aaQis�IFSL SUBDIVISION LOT #
NEWA REPAIR ❑ PANSION ❑
Type of Structure:511 Q �� 1�'t7S
Proposed Wastewater System Type: a-� 0 1 )C -110,j v5s
Projected Daily flow: L-rJO GPD
Number of bedrooms: s -t Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑YesNo
Pump Acquired: ❑Yet' o El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community /:::K Public ❑ Well Distance from well 1 OOT feet Permit valid for. Five years
Permit conditions: —_,_ ❑ No expiration
Authorized State Agent: ����\�2�Zb� S� Date: i ( l� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan<� kr permits. The permit holder s responsibk 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 taws 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, .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: IL (-- CGEA/_au( Q>P\2o5 6a, PROPERTY LOCATION: R 05.E R b
SUBDIVISION
Facility Type: S® New ❑ Expansion ❑ Repair
Basement? ❑ Yes -*S( No Basement Fixtures? El Yes �No
Type of Wastewater System** a 5 L o �GGJ'��� o , Sv-5 rr (Initial) Wastewater Flow:
(See note below, if applicable ❑)
2-5 0 V'co - . (Repair)
Installation Re uirejlkm t Conditions Number of trenches 1
Septic Tank Size s o gallons Exact length of each trench LF—� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.. 61LJinches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
LOT # -3
49 O GPD
Trench Spacing: Feet on Center
Soil Cover. 1 a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the ryrtem type rpedffed it different tram the type rpedfed on the app/icadon. / accept the rperifcanoor of thir permit.
Date:
This Concoction Authorization is :object to revs the rte kan, plah or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
compliance with r \swCz, ,le Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Construction Authorization is subja
Authorized State Agent: Date: '-)
Cons tin Authorization Expiration Date:
HTE# I C - 5---366�1) eSZ-
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: T)10s5 Q'D
ISSUED TO: V n!EQ L---) Ga ��C� (( SUBDIVISION LOT # 3
Authorized State Agent: `ouvL2"7oz o(� Date: y,Q 16
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