IPACHTE# I! — 5-)°155' Harnett County Department of Public Health 29104
hDrovement Permit
A building permit cannot be issued with only an ImpJjQ ernum Permit
\\ PROPERTY
LOCATION: 0� iJCr ��vrISSL
ISSUED TO: Gia 6I— SUBDIVISION LOT #
NEWX/'REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L_3�S" ��Ff1 ,r41 aBgy'F�OOriS
Proposed Wastewater System Type: \-a 6
Projected Daily Flow: tpo GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Require les ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: - ❑ Io expiration
Authorized State Agent::��� !2 Date: YO3 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees then of other permits, The permit holds is resp Bible 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 Permit)
The construction and installation requirement 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 accordana
with the attached system layout
ISSUED TO: GC'5ee=?1%(At Asi1 E. INtSPVNSC- PROPERTY LOCATION: �q 1 tJGliwySS�
SUBDIVISION LOT #
Facility Type: S»s� fit.`'t) } W` X2:15" K New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" E N 5"c w C, (Initial) Wastewater Flow: V O O GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size I O a (5 gallons
Pump Tank Size 'L ba O gallons
Number of trenches
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions: -Ti 5 P,
11rT
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
w7 o inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undeatand the system type speribed is different fmm the Ve sper6hed on the application. / accept the specihcavems o/ this permit
this Lonstmcton Authorisation n to revoavoo if the site plan, plat or the intended use changes. The Construction Authorization shall not he numbers
Construction Authorisation ftp he p nv sof the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: e6 -15 Date: S t
tii�Niction Authorization Expiration Date:
Date:
when there is a
SEE ATTACHED SITE SKETCH
HTE# 1(D —5 Permit # a5 S 0 L)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: X91 NC, Hwv55G
ISSUED T0: ��EL T�6 N�GLE t I sPA,t�TG SUBDIVISION LOT #
Authorized State Agent: 6,4a -To Date: S° 6 ij-
SHE��Fii Z�i*tY$
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Hwy 55