IPAC RRRNTE# Harnett County Department of Public Health 29015
Improvement Permit
A building permit cannot be issued with only an Im 1t
ISSUED T0: rovement P
� ' 1�Ur�(xS PROPERTY LOCATION: oc.S
M G G SUBDIVISION OA -e_% .o %'T-1 LOT # 155_
NEW'K REPAIR ❑ Effl"SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _SAO (y
Proposed Wastewater System Type: ��° 0 7 _ S7
Projected Daily Flow: t-1 10 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes No
Pump Required: Dyes � No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '-K Public ❑ Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: _ t Ac ❑ No expiration
Authorized State Agent: WA—S�— Date: "I N 11 G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees thethe n1� other permitt The permit holder n responsible for checking with appmptiate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, plat or the intended use changes. The ImproveZn I'M it 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 commission and installation requirements of Rules .1950, .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: 1 �1oc' 5 u --C PROPERTY LOCATION: C)
SUBDIVISION OA,aAcyf T LOT # ISI
Facility Type: S� 1 ^S e1� New 11 Expansion ElRepair
Basement? ElYes No Basement Fixtures? I Yes No
Type of Wastewater System" 2S°(e Q-EUaUQ7S ct a i5 :6K (Initial) Wastewater Flow: yX0 GPD
(See note below, if applicable ❑)
1rJAr461_
a2_ot�t (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size Ldo c9 gallons
Exact length of each trench 2110 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: i$'%Zl inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft TDM vs.
GPM
Conditions:
Trench Spacing: 1Z% Feet on Center
Soil (over: )1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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: / ondeatand the sotem type specified /J different fmm the type spedfed on the app/icatioe. / accept the sped&ationr of this permit
Owner/Legal Representative Signature: Date
This construction Authorization u rmsation if the site plan, plat 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 suliject to com a signs of the laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
truction Authorization Expiration Date: 5 9 51
NTE# IG' S'3���6�C2.
Permit # 3-':+0
Harnett County Department of Public Health
Site Sketch
v PROPERTY LO(ATON: flocs
ISSUED TO: M r -T -C E L—LC- SUBDIVISION Oo�sno�rC LOT # t
Authorized State Agent: `ot wflL ToU\W��Date:
EX.GGtY1)v6 aL