IPACHTE# IG -5-6%o 6 Harnett County Department of Public Health 29016
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: JoFl.. J nuN.6
ISSUED TO: V71sis SAPS 1 �PtlA 1V G C %oe4 —SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION A Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: EacaST\ cels flo.�i C.p,4 G
Proposed Wastewater System Type: punwe "Tc, ror. b Lx
Projected Daily Flow: CA % S- GPD S3 4a o-1
Number of bedrooms: Number of Occupants: Q Is, %V max
Basement ❑Yes ANO
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'g Public ❑ Well Distance from well Net Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: t' Date: `t i� \\G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance of other pertain. The permit holder is respomible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 Permitl
The cons taction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .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: V-sCLS� SSGp5 LCp:LN(NG\ s;.cc12_ PROPERTY LOCATION: �aEL�oNNDON aD
SUBDIVISION LOT #
Facility Type: �7xt5'5 N N ee flog' Cb" ❑ New X Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** \n- u4ne--To Ccd vy6t,' %atvAL. (Initial)
(See note below, if applicable ❑)
QU t^9-7 o cl ,"C
41� v L (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Ta s-rs., a gallons
Pump Tank Size WC, gallons
Wastewater Flow: `T )S GPD
Exalt length of each trench Y 56 feet Trench Spacing: 9 Feet on Center
Trenches shall be installed on contour at a Soil Cover. SK 1 inches
Maximum Trench Depth of: 36 'al-) 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: h. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: %oo a L a vE s�o i(aE Fy \s csev C Sys 6tn 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: / nndeutand the system type rpeafied it different from the type rpeciled on the app/ication / accept the rpecilcadonr of this pem2it.
Owner/Legal Representative Sig Date:
This construction Autl�orizadon is su6jea to rerocaoon if
t Ian, plat, or the intended use changes. The Canswctum Amho cons, shall not be transferred when nwrc is a change in ownership of the site. This
construction Authorization is subject tuna with rovisions or and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date:
Construction Authorization Expiration Date: