IPAC (2)HTE#1 (o'5-3)--CLi Harnett county Department of Public He .tth 28644
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Opo USyA,\
ISSUED TO: �Rxo CU mm 65 SUBDIVISION LOT # Q I.
NEW,' REPAIg ❑ EXJNSION 11Type of Structure: 1,1212> (7-'06 7-77—\
Proposed Wastewater System Typ , " n n Vt=aijz ; t a
Projected Daily Flow: —'50 LCGPD
Nu
Number of bedrooms: mber of Occupants: b max
Basement ❑Yes -V No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required�'(es ❑ No ❑ May be required based on final location and elevations of fatuities
Type of Water Supply: El Community � Public ❑ Well Distance from well � het Permit valid for. Xive years
Permit conditions: ❑ No expiration
Authorized State Agent:: i2Ca:�i Date: a "l 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees thea other permit The permit holder is responsible 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 change. The Impro i Permit shall not be aftetted 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: OQ'OO C.(JMcv%N%aCS PROPERTY LOCATION: C z> LA I)
SUBDIVISION LOT #
Facility Type: 5e -o (Z-30 X-1 Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1:C No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System"—� e�S'�a�; �I (Initial) Wastewater Flow: --'CO GPD
(See note below, if applicable ❑) -
P„ sn? C� �eln `�-aD (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t c,`Zn� m gallons Exact length of each trench L O 0 feet
Pump Tank Sized gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.Vq-D& inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover. 6 10 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BEi1WQOM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the ryrtem type rpedf'ed it different from the type tpedfed on the app/icadon. / accept the rperibcationr of thin permit
Date:
this Lonstrucsion Authorization is mbjett cation if she sire plan, plat or the intended use changes. The Construction Authorization shall not be tnmferred when there is a change in ownership of the site. This
Construction Authorization is to complian isions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Flows Date: Ll- 11. 21
truction Authorization Expiration Date: It, I 2N
HTE# Permit # a"%pll y
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:Ql)"o
ISSUED TO: a ccs _�mm N r35 SUBDIVISION — LOT #
Authorized State Agent:
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Date: I LI) -(o
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