IPAC RHTE# R Harri -a County Department of Public .. .:alth 29047
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Docs Q—p
ISSUED T0: SUBDIVISION C]In' LOT # 17�
NEW)L REPAIR ❑XP/SNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
5
Type of Structure: �`�=A Jtt (" nisc-a--)
Proposed Wastewater System Type: `iS"/ qs;)vc—'\rJN 5�3 Asn
Projected Daily Flow: !-J. O GPD
Number of bedrooms: LA Number of Occupants: max
Basement []Yes Allis
Pump Required: ❑Yes o 4 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \CQ feet Permit valid for. /,Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: ��� \�-�\Q��S Date: \O G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsib fthing 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 Permit shall not be affected y a charna in own i 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, CaT,3 s s / 1
Construction Authorization
Required for Building Petmit)
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 accordance
with the attached system layout
ISSUED TO: 4-"ti o(U PROPERTY LOCATION: flu v �v
3G^a%
b2 SUBDIVISION nkM oaTV LOT # Q4
Facility Type: SGDCZI� � >� New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�< No Basemept Fixtures? ❑ Yes 'XNo
Type of Wastewater System' 0 RG9 v cal \ p N SY55 E •n (Initial) Wastewater Flaw: yid GPD
(See note below, if applicable ❑) a/o gg�� –
t0 • Sys - (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 100 o gallons Exact length of each trench 3a0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: �_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: it. TON vs. _ GPM
Trench Spacing 9 Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C2 f� Aggregate Depth:
Conditions: �T—F�A.r��'� p�15[r) �..r QrT,CjP °5p��iZpr•, � � S
inches below pipe
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 r}rtem type rperifed fi d0rent from the type rperifed on the app/iainlon. / aaept the rpeafraeonr o/ thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization ro revocation it the site plan, plat or the intended use changes. The ComwrAion Authoruadan sha8 not be transferred when there u a thange in ownership of the site. This
construction Authorization iy- ro coin tlfnororisions al the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State "r f - Date: 10 ,
aar�bo raJ, a4�*t5 Construction Authorization Expiration Date: L
HTE# 5 QZ Permit # �Oi oLi--i
Harnett County Department of niblic Health
Site Sketch
�^� PROPERTY LO(ATON:_ T]oc,5 KA
ISSUED T0: �� :la oc� GC 2 SUBDIVISION Oo v4—. LOT # 1 1b
Authorized State Agent: t�oLKSOO(� Date: 18I�
Loco `'GI- voob Ofz:\Vb
3 �13