IPAC RHTE# Harnett County Department of Public h�Jth 29028
Improvement Permit
A building permit cannot be issued with only anryInsprovement Permit
PROPERTY LOCATION:
no"V41 —gJQ•00-ye Qv a
IO
ISSUED TO: �oT r+D51�? N �U C.0 E2 SUBDIVISION 6 N Nl ZQA0'\4- LOT # -4*
NEW REPAIR ❑ EX�INSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ScQ �sO icy b
Proposed Wastewater System Typpe: Nu v—vF fin a-SYa ! EDsUvoz
Projected Daily Flow: 3 `O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []YeskNo
Pump Required:-JRJbs ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community � Public ❑ Well Distance from well t o O feet Permit valid for. >qive years
Permit conditions: ❑ No expiration
c.
Authorized State Agent:: Date: 3':Q.) VA io SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmentin no way guarantees the issuance er permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if she site plan, plat or the intended use changes. The Improvement ermit all not be aRected 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. `o) 4-7
) T 6
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950, .1952, .19S4, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into the permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: cw-6q, PROPERTY LOCATION: 00 NN)12>5L00,vL. AV N
SUBDIVISION Qvavv$nsso�t— LOT# S
Facility Type: `��O `'`�'��� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basementfixtures? ❑ Yes o
Type of Wastewater System** U M Q o aS o �UC<ses r SY5 (Initial) Wastewater flow: ICO GPD
(See note below, if applicable ❑)
� U 4cSv 3 (Repair)
Installation Requirements/Conditions Number of trenches T
Septic Tank Size l inC Q gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench alA0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: feet on Center
Soil Cover. 6')Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
BGG t, �On �IOVS— �--oCA,>>yN See ��-CE 5�•�Gr�
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 .system type speciled is different Imm the type speciled oo the application. / accept the sperilcatiom of this permit
Dwner/legal Representative Signature: Date:
This construction Authorization is subject to revontion 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. The
Lunstruction Authorization is licence with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Aust o�nze enc: tt��� Date: 2� 16
struction Authorization Expiration Date: �5 ]
HTE# )Q,-5-3 L--� (2,
Permit # a' O �'-V
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ���>Jt6400f QON
ISSUED TO: ZSC" SUBDIVISION LOT# A -
Authorized State Agent: <2(sPC>6-wa iOLyS&w (tF Date: `I �
Q o,�.1N>8 RA4� 9VTV
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