IPAC RRHTE# f6-S-'S1bHa aK Harnett County Department of Public Lalth 28736
Improvement Permit
A building permit cannot be issued with only an Improvement Pe it
v' l PROPERTY LOCATION: C.1.1GuL-I l_ Ii_L_ Olt_
ISSUED T0: SUBDIVISION n D Cs .TS LOT # 15 J
NEWW REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `'o�Lx.S^xSSr)
Proposed Wastewater System Type: �S�% n ovC SGSJ SY5 sFN
Projected Daily Flow: _
Number of bedrooms:'
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply.
Permit conditions:
_ GPD "101
Number of Occupants: `L'Ca� max
-KJo ❑ May be required based on final location and elevations of facilities
❑ Community -:K Public ❑ Well Distance from well 1-00 feet
Permit valid for.
- Mjive years
❑ No expiration
Authorized State Agent: _» \\Vf� Date: 51---3I1 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees f other permits The permit holder is responsilik for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or theuse changer The Improv ens 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 ndin erma.
Q04'E' C) tdl.Ll
(Required for Building Permit)
The construction 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 accordna
with the attached system layout (�
ISSUED TO: "0 M(,-5 PROPERTY LOCATION: Ct''C11ZL-/
SUBDIVISION Oky-mt, f LOT # 15)
Facility Type:`� Thi CS 1"�'-S 5 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** 4<'/o SZGOVGTI Oa SySSG (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑ y (Q
v me --o ���L c. a ..oc,� (Repair)
Installation Requirements/Conditions Number of trenches 5 csi 1
Septic Tank Size O gallons Exact length of each trent 00 feet Trench Spacing: c— Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C-11 inches
Maximum Trench Depth of: a� inches (Maximum soil cover shall not exceed
w'�T" (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TUN vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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: / understand the rXteur type spec/hid it different from the type specibed on the app/icmim. / accept the rpe6hiationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Auth ation is subject to revocation 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 s c to comp lh she ions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 94W Date: 3 1 x3 )Z
2c t 01 x, ) 14 Azr-"j Co ction Authorization Expiration Date:5 z3 a )
HTE#-5=3t'L Permit # aI--�3-6
Harnett County DepaAment of IlUblic Health
Site Sketch {�
\ PROPERTY LOCATON: CA,C,2cLy 'r\ L JJ(1
ISSUED T0: SUBDIVISION OPxr^0LOT # Y�
Authorized State Agent: Date: 51-3114
3a
I•
C, CWSC1 N1 LL 02
rn