IPAC RHTE# I62a� Harnett County Department of Public Health 2 9 U 9
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit {�
\ PROPERTY LOCATION: W1�L L-ycw. KKK
ISSUED TO: 57 tg4¢ SUBDIVISION SNF,>_;+v, ViOY4&V LOT # I
NEW REPAIR) J �PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
S
Type of Structure: _ %'(Z) T33
Proposed Wastewater System Type: F SxOa sP%L.
Projected Daily Flow: 3Lb0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑YesNa
Pump Required: ❑Yes No El be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well `L_0feet Permit valid for. Ix Five years
Permit conditions: ❑ No expiration
Authorized State Agent: \ s Date:► O I dor I) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the irsuan o emit. The permit holder is responsible 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 Improvement Per shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Lays and Rules (or Sewage Treatment and Disposal and to conditions of this permit.
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / nndentand the .rystem type rpedled it different hom the Ve rpeciled on the app/icadon. / adept the fpeaficationr of div permit
Owner/Legal Representative S' afore: Date:
This Construction Authorization is subject in revocation ite p lot 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 wbe compliance wit rovisions s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 124:2�d) Date: 10 )-17 ! b
Construction uthorization Expiration Date: 1 o 1 r1 2.)
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951,
.1954, .1955, .1956..1951, .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 T0: llr7C�qE
PROPERTY LOCATION:
S�9 C e
Facility Type: " 3�
SUBDIVISION �yGL� N
a ctiv6LS LOT # S
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures?
❑ Yes )ErNo
Type of Wastewater System** CA v,-4 G,s\ V N P L
(Initial) Wastewater Flow: 3 6 () GPD
(See note below, if applicable ❑)
�/c7 N�TG ^a'�%\ G N A 4 (Repair)
Installation Requirements/Conditions
Number of trenches I-1
Septic Tank Size L 6 o d gallons
Exact length of each trench � B feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. C inches
Maximum Trench Depth of ),�K 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. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / nndentand the .rystem type rpedled it different hom the Ve rpeciled on the app/icadon. / adept the fpeaficationr of div permit
Owner/Legal Representative S' afore: Date:
This Construction Authorization is subject in revocation ite p lot 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 wbe compliance wit rovisions s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 124:2�d) Date: 10 )-17 ! b
Construction uthorization Expiration Date: 1 o 1 r1 2.)
HTE# 1(3-5
ISSUED TO:
Authorized State Agent:
Permit # aq () 3 l
Harnett County Department of 1' iblic Health
Site Sketch
PROPERTY LOCATON: \r) Nu \—UcR,S Y-4)
MSKS SUBDIVISION T--vGivN R 'Ps S wC25 LOT # 1
Zl�VIS 6 (—N -40Z) GLKSDKf) Date: