IPAC RHTE# Harnett County Department of Public Health 28771
lv5.3 g"(PQo Improvement Permit
A building permit cannot be issued with only an Improvement Permit
a PROPERTY LOCATION: O x N 0g,
ISSUED T0:—P�vcnsTG(L� New, (�» SUBDIVISION F_C:o o nIcz 5 AN LOT #
NEW REPAIR Eyt��NTSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: AEU'�bQ/ \fcA "60�
Proposed Wastewater System Type:—els 'yoEovcc t o N jy -rcxm
Projected Daily flow: L-i`b0 GPD
Number of bedrooms: 4 Number of Occupants: _max
Basement XYes ❑ No /
Pump Required: ❑Yes ❑ No ,sem, May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well S -0d feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: \ \ QF— H5 Date: 3 I awl l� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ce o in. The permit holder All, Bible liar 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 IRMO ant Inonq1ts t 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.
tlr�ati Qcv u;: ., S I t I I 1c
Recruited for Buildine Permit
The construction and installation requirement of Rules .1958, .1951, .1954, .19SS, .1956, .1951, .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 T0: LRNcPs�sC�La NF�Rvpt \ s v -C. PROPERTY LOCATION:
Sc SUBDIVISION Eiky Ti bso�a M LOT # .>
Facility Type: 9 J � New ❑ Expansion ❑ Repair
Basement? N�Yes ❑ No Basement QF1'xt�u,r�es?�$aYes ❑ No
Type of Wastewater System" �w w�CJV �7�tQ1N S -Y5 <—m (Initial) Wastewater Flow: 11g� GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size s oroy gallons Exact length of each trench 3Z)Z) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1_I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft TDM vs
inches below pipe
Depth: inches above pipe
inches total
WATER LINES (INtIUDING IRRIGATION) MUST BE IOFT. FROM ANY ARTOFSEffIcSYSTEM OR REPAIRRDA EYt.- 11Es O s4
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. SEe NEw S )t£ '54�
**If applicable: / utldeatand the swem type fpecifled it 61herent from the type speahed on the app/icatioa / accept the rpecificationr o/ thin permit.
Date:
This Concoction Authorization is subject to re n e site plan, plat or the intended we changes. The Constucti m Authorization shall not be transferred when there is a change in ownership of the site. This
commissions Authorization is s mmplianu the_ ar of the Caws and Rules fm Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
t Ize a \ S Date: 3 16 1 5 celTl�-(
Con tion Authorization
nitration �ation Date: 3 al )nf),,
HTE# — 5 -31 �f fL
11� - 5- 3 TM ett
ISSUED TO:
Authorized State Agent:
Permit #
County Department of Public Health
Site Sketch
PROPERTY LOCATON: GE
SUBDIVISIONfNkto, LOT #
-QL,F�,56t-,a611- �o> D(IJLS� Date: rL