IPAC RHTE# 16_! ' 3$z/se Harnett County Department of Public Health 28856
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION;5_Qs/JZ
ISSUED T0: SSU<_� 5 6141 SUBDIVISIONy"'A !s LOT # .�
NEW Y REPAIR 11 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Tyle,
2'�`'Lc 7V -t, (.R� �
Projected Daily Flow: O GPD G,
Number of bedrooms: Number of Occupants: _�maz
Basement []Yes No
Pump Required: ❑Yes ❑ No M e required based on final location and elevations of facilities �
Type of Water Supply: 11 Community Public El Well Distance from well feet Permit valid for. h3 Five years
Permit conditions: ❑ No expiration
Authorized State ent: / 1_Je"t1.V� Date: _ -7) ' / (o ' ( (op SEE ATTACHED SITE SKETCH
The issuance of this permit by /lie ealth Department 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 to revocation Vim plan, plat. or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit u 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 concoction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1956. and .1959 are incorporated by references into this permit and shall be met Symms shall be installed in accordance
with the attached system layout
ISSUED TO: /��-'d�s� S PROPERTY LOCATION.-�&-J 4/2 AA,�f4;o a 4y: / '
/ SUBDIVISION -17-A6r LOT #- 3
-
Facility Type: - f� New EExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Lef No
Type of Wastewater System** 7'9% (2.0��0 trt5&..d " -'i r -.— (Initial) Wastewater Flow: 80 GPD
(See note below, if applicable ❑)
2_61 7JA94�1 V7,-� (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 12-04) gallons Exact length of each trench tj� 0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 97—Inches
Maximum Trench Depth of: 2y 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. TDH 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
Z inches above pipe
�Z- inches total
**If applicable: / understand the system type spedfed it different him, the type spedfed on the application. / accept the cpea cations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when then it a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
/7+lkS
Authorized State A'Pxut��/ /� (sSJ�Z1SL,d �= _ Date:
Construction Authorization
Date: l/_ -
HTE# J6`SJ3?05%z Permit# 288t�-�
Harnett County llepailinent of Public Health
Site Sketch
ISSUED TO:
Authorized State
d�n1 5
L
PROPERTY LOCATON:—Kk/VIZ 64���/�—/��
SUBDIVISION ULOT # 3
Date: - /6�
A
7M
ti