IPAC RHTE# Ir. -s 391%o2 Harnett County Department of Public Health 29116
Imarovement Permit
A building permit cannot be issued with only an Improveme�y Permit
PROPERTY LOCATION: �aca (�
ISSUED TO: 14 *-A SUBDIVISION _Qax�e 14 LOT #L�
NEW)I REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _--TQ �L1"al d
Proposed Wastewater System Type: '1S'/e i�Cpuc1 s o A.1 5y5 sE ,�
Projected Daily Flow: '360 GPD
Number of bedrooms: 3 Number of Occupants: Ir. max
Basement ❑YesNo
Pump Required: ❑Yes 1 Ilo ❑ May be required based on final location and elevations of Facilities
Type of Water Supply: ❑ Community —'151 Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions:_ c ❑ No expiration
Authorized State Agent: h Date: sslaill 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees uance of other permits. 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 Romiounrent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pmvisions 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 installafion requirements of Holes .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: WQ—,G 0CL5 PROPERTY LOCATION: �ocs
SUBDIVISION _S'jP.qw�orS. LOT # 17S
Facility Type: sF (j i "N Or )Nk New ❑ Expansion ❑ Repair
Basement? ❑ Yes N, No Basement Fixtures? ❑ Yes Allo
Type of Wastewater System** 2;') o R6Q jfz;; I oev Sy5S6rsr, (Initial) Wastewater Flow: 3G0 GPD
(See note below, if applicable ❑)
2 �7 � Ia
Installation Requirements/Conditions 0
Septic Tank Size l o O o gallons
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
RES5it01fors SnO (Repair)
Number of trenches I
Exact length of each trerl feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. -11 inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
_ GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If appliable: l understand the ryrMm We rpecihed is diNerent /rom the type specified on the app/icatioa / accept the specifications of thin permit
Uwner/Legal Represen nature: Date:
This Construction Authorization is subject ta mZistwK n the site plan, plat, or the intended use changes. The constructions Authoriution shall not be transferred when there is a change in owmrship of the site. This
construction Authorization k4kea to conspinewowithVilhowes of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATrACHED SITE SKETCH
F
orized State AgenDate: s l ti I fo
o £Kuction Authorization Expiration Date: f I JY 1
HTE# Permit # a1Yl�
Harnett County Department of Public Health
Site 'ketch
PROPERTY LOEATON: mooch Vlb
ISSUED TO: 2 G; 0St SUBDIVISION LOT # 11S
Authorized State Agent: 115 t 4&L 10L1csD0 Date:
r
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