IPAC RHTE # Iro—S 1_:r; -,5M Harnca, County Department of Public Lalth 28798
Improvement Permit
A building permit cannot be issued with only an Improvement Pe
PROPERTY LOCATION: rIRCLxS �D
ISSUED T0: CL,Ps—j s In r4 T'i6the�7 SUBDIVISION LOT #
--R—
NEVREPAIR ❑ ENSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mrrs . kC1ML \'-l�
Proposed Wastewater System Type: &-S;`f r 9ZQ i --c so—.t a' A3yLrn
Projected Daily Flow: _
Number of bedrooms:
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
—uru
Number of Occupants: $ max
15<110 ❑ May be required based on final location and elevations of facilities
❑ Community X Public ❑ Well Distance from well `L0 d feet Permit valid for. Five years
❑ No expiration
Authorized State Agent:: \ )aS Date: Z SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way goazante s t I race a ermits. The permit holds is r ponsibk kr checking with appropriate gaaming bodies in mating their requirements, This
site is subject to revocation if the site plan, plat, or the intended use changes. The sent Per of be affected by a change in ownershi 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. � `S g4 } ,q6
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in actordana
with the attached system layout
ISSUED T0: C -L tiy1_0H 4 nG5 PROPERTY LOCATION: M pat;:�5 D
�p SUBDIVISION
Facility Type:Y`T4srs . 1�t5rvN15- 'Ox _ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** °�o QCQQ M RR1J (Initial) Wastewater Flow:
(See note below, if applicable ❑)
�To
VNC0 V C \ U of ��J-!5 (Repair)
Installation Requirements/Conditions
Number of trenches s
Septic Tank Size 1000 gallons
Exact length of each trench a ID feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: Tab inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
LOT # -B
>�Q 0
GPD
Trench Spacing: Feet on Center
Soil Cover, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spedfled it different from the type tpedfed on the application. / accept the specifications of this permit
Owner/Legal Represen nature: Date:
This construction Authorization is subject to men 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 compkmce the ' ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Au orized wo= Date: 5 5
cg ` ) ft)a� Construction Authorization Expiration Date: 11111Q)
HTE# I(� S 'sb5q$ R -
ISSUED TO:
Authorized
Harnett County
Permit # ap$1 $
Department of Public Health
Site Sketch
PROPERTY LOCATON: �S
SUBDIVISION _ LOT #
a� of c,
ls4
Date: 51 `t