IPAC RRRHTE# o—)- Harnett County Department of Public Health 2900
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S a a a5 HADES 14
ISSUED TO: C', L- 91.�'u Ts.0ES s 1-4 G SUBDIVISION HOW �' LOT #
NEW bIC' REPAIR ❑ EX ION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 X61 '"'3 �'
Proposed Wastewater SystemT pe: a��rs tcOy�1tlAJ SS-rv'A
Projected Daily Flow: 320 GPD
Number of bedrooms 3 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 Public ❑ Well Distance from well �Q feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: qA5 Date: 4 )as1 \ b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t r i,S�ance of other permits. The permit holder is responsible fo checking with appropriate governing bodies in meeting their nquisemenn. This
site is subject to revocation if 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 Ruder .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be instilled in accordam e
with the attached system layout
ISSUED TO: 5�1A NC -1 t_ g a, ze-oCaLS \K elPROPERTY LOCATION: LS s LP s Nosy 5 �f)
SUBDIVISION HJAfia�a a pope ; LOT #
Facility Type: SF9 ��1� New ❑ Expansion ❑ Repair
Basement? ❑ Yes --lik No BasentpFlxtures? El Yes No
Type of Wastewater System** e`i� %o T IGDUcz is CIN Syst6m (Initial) Wastewater Flow: 36 GPD
(See note below, if applicable ❑)
'?Ury-* \ • o4�w�o �Go5v5 (Repair)
Installation Requirements/Conditions Number of trenches T p
Septic Tank Size a 6 d gallons Exact length of each trenches feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. S % inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36 above the trench bottom)
in all directions)
Pump Requirements: ft TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: /understand the rystem type spealed is different from the type specAed on the application. / accept the spea6catiarts of this permit
Owner/Legal
Construction Authorization
plat or the intended use
Date:
not he transferred when there i
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: 9; � Date: a
Conti 'on Authorization Expiration Date:
in ownership o1 the site. This
SEE ATTACHED SITE SKETCH
Permit # Q.�0 Cr
Harnett County Department of Public Health
Site Sketcli
ISSUED T0: S P
U �._ V
PROPERTY LOEATON: SIL -JPS
SUBDIVISION S� V r4FJLs
�Ay*t 6S
V 0% NJ,
LOT # _� L
Authorized State Agent:
Date: .4p
1 a V'