IPAC RHTE# Q` I -S4 3:?P Harnett County Department of Public Health
Improvement Permit 2 6 2 7 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t ~MyC i~ F~ ~~,c Q~
ISSUED TO: ~Ic-rt~ZL 4~c2~s SUBDIVISION -cCw - LOT # 1
NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5V p (-S S - Li0~
Proposed Wastewater System Type: `,)-'SX
Projected Daily flow: O _ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ~ Q) Q!i_ feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:
A~~ - Date: r'1 2,0 4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department no way guarantees the issuan ther permits. The permit holde is resp Bible 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 Improveme rmit 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, .1952, .1954, .1955, .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 TO: Howf Cp.~tpq.ps PROPERTY LOCATION: ~-~tn~3Ey e) t-f\C,,- QD
SUBDIVISION QA G~.te s c LOT # 1a_
Facility Type: 5 C"O S x ) New ❑ Expansion ❑ Repair
Basement? ❑ Yes --'S, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" 311~ e:Gp y C;N iO N S ys ~ F-r„ (Initial) Wastewater Flow: 3NoQ GPD
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size i C oc-- gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches 1
Exact length of each trench Zi-W feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. \<9, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: "1 Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. 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: / undeatand the system type rpecilled it different from the type soecided on the app/icatiom / accept the specillcatianr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization ism evocation if the site nlat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance w ons o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
t
Authorized State Agent: A> Date: q tS 16
Con n Authorization Expiration Date: G, 'I
C
HTE# 01 -5_ 1~ 13~~1 Permit #
narnett (bounty Department of Public nealth
Site Sketch
PROPERTY LOCATON: ~-G env Ft ~G~
ISSUED TO: ~A ~i-t G1 ~S SUBDIVISION LOT #
Authorized State Agent: N rz\,, 4 10 ~ Date: (aC d
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C)
3 7' Q
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