IPAC R CHG'D TO 4 BEDROOMSHTE# S CS—S—�S C"IQ Hartr,tt County Department of Public elealth 28927
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C oW c"5N0C Q)sL.
ISSUED TO: rl c.NLcc-C Mees LL—C, SUBDIVISION C7 Ps Ys aT:! LOT #
NEWNi REPAIR ❑ EXPAItSLON ❑ Site Improvement required prior to Construction Authorization Issuance:
Type of Structure: 5 c0 kS O " s'
j
Proposed Wastewater System T pe: sP ES-
Projected
ToProjected Daily Flow: GPD
Number of bedrooms:�� Number of Occupants: a max
Basement ❑Yes 'No
Pump Required:�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well \ b In feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1� Date: '� f t `SI L b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuuanc er permit. The permit holder is responsibk 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 Impmvement t shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The commission and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958, and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acmrdance
with the attached system layout ` ` r
ISSUED TO: �G�CgC. Np'+r�s LLe_ PROPERTY LOCATION: CoUsySGLyJ10C �2
SUBDIVISION yc i.*,t\o r LOT # 5�
Facility Type: 5�9�soe�s a �� New �.� r❑'' Expansion ❑ Repair /�
Basement? ❑ Yes IR No Basement Fixtures? ❑ Yes � Ijo L}q0 v
Type of Wastewater System** 1PU ""eZS°�° 'R¢DUcn IQN Ste-Cro (Initial) Wastewater Flow: Aft GPD
(See note below, if applicable ❑)_
Q'J c,,V ° �S °�O REO • (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size t O o o gallons Exact length of each trench 30 v feet Trench Spacing: Feet on Center
Pump Tank Size t oo d gallons Trenches shall be installed on contour at a Soil Cover. G inches
Maximum Trench Depth of. A 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 it different ham the type specifed on the application. / accept the rpecibranonr of this permit.
owner/Legal Regmsentative Signature: Date:
This Construction Authorization is subject n if the sire 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 m compliance he pr a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
F
orized State Agent:Date: -7 1 elf
Constructio thorization Expiration Date: 'l t
HTE# { (o�4Z Permit # a'-�°la)
Harnett Count- Department of I)Iblic Health
Site Sketch
ISSUED TO: l�caL �t)trFS �LGPROPERTYLOCATON: �uN;�2l510 a -
ISSUED LOT #
Authorized State Agent: � +5 `o>_iv 1 at.,cs00 Date:
HOVb6
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COUNS(ly:5 )06 00—