IPACHTE# IG- )- Harnett County Department of Public Health 28901
Improvement Permit
A building permit cannot be issued with only an In$rovement Permit
ISSUED TO: Y.6ra Mos PROPERTY LOCATION: 05 �tayH C� �Pr/
3 SUBDIVISION T12ZPl5y,usx66 LOT # E,5
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: EwT Ssfl
Proposed Wastewater System Type: v „s AL
Projected Dail/ Flow: GPD
Number of bedrooms: Number of Occupants: C max
Basement []Yes `Pk—No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �P? Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: 1 ❑ No expiration
Authorized State Agent: \�� �� Date: , I "I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuuan odser permits. The permit holder respo ible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 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, .1951, .1958. and .1959 are incorporated by references into this permit and sha11 be met. Systems shall be installed in ucordaKe
with the attached system layout
ISSUED TO: %ccs Nios3 PROPERTY LOCATION: $Sy ILLP.(>'C ,J D.y
SUBDIVISION Ta-2-NIyILx.A6E LOT # �S
Facility Type: 7=-c'T - S"i7-D ❑ New X Expansion ❑ Repair
Basement? ❑ Yes 1,:9( No Basement Fixtures? ❑ Yes 'I$ No
Type of Wastewater System** CcsnsV6J \GNRL (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
:Zs7a
Stsw (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size > eDo 0 gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: \4t-36 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TON vs.
GPM
Conditions: SS'� -7 P,14 y- %"V
-c o a
a
Trench Spacing: Feet on Center
Soil Cover. L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
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.
**If applicable: / understand the system type specified is different from the type specified on the applinden. / accept the speabcadonr of this permit.
Owner/Legal Representative Signature: Date
This Construction Authorization is ' a to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
construction Authorization is su ' to tom h the limagsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: io 16
onstruction Authorization Expiration Date: 6 )0 a.1
HTE#
ISSUED TO:
Authorized State Agent:
Permit # �iZ�10
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: LJ-A6r= W"
SUBDIVISION u.a,GC LOT # �S
���BCo�15li�ti oft fr) Date: `e toti6