IPACHTE# ib s- 3 ggT3 Harnett County Department of Public Health 29257
Improvement Permit
Authorized State Agent.: Date: / 2 /G 5 /zv/L 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 responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site pian, 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 w conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .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 TO: 01 � C,(tsta e \ R RA c s s o IN PROPERTY LOCATION: 24y 19 r 11 6r .tAc t,L �• l vS 401
SUBDIVISION V A 11 LOT # 32
Facility Type: 3 B CL N oySC GKNew ❑ Expansion ❑ Repair
Basement? ❑ Yes G,YNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** L 5 % ax-A�c is n .S"s /rte (Initial) Wastewater Flow: .3645 GPD
(See note below, if applicable ❑)
Z Sia 2e A sac4%a s hat (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size tic o cp gallons Exact length of each trench —4 o a> feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-. ? q — t 'Y inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: N. TON vs. GPM
Conditions:
Trench Spacing: 3 Feet on Center
Soil Cover. 7—z — G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicabfe� / understand the ryrtem type rpeciled it different from the type speeiled on the app/icatioa / acrept the rperilcationr of thir permit
Signature:
Date:
This Construction Authorieation is subj a w revoatian 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
contraction Authorization is subject w to me a visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent %<' Date: I Z/oslza/6
n ration Authorization Expiration Date: I z/ 05 Z z o Z.l
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 2!YY Aill d r t!U54160
ISSUED T0:
f/
SUBDIVISION m i l l &-C'na'
LOT # 3z
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
36.2 41ov5e
Proposed Wastewater System Type: Z-5
`;Ko n 5y3:L"
Projected Daily Flow:
3 �_ r,
GPD ��
Number of bedrooms:
3
Number of Occupants: Amax
Basement ❑Yes
fro
Pump Required: []Yes
❑ No
I Xay be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
❑uWublic ❑ Well Distance from well Net Permit valid for
fears
Permit conditions:
❑ No expiration
Authorized State Agent.: Date: / 2 /G 5 /zv/L 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 responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site pian, 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 w conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .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 TO: 01 � C,(tsta e \ R RA c s s o IN PROPERTY LOCATION: 24y 19 r 11 6r .tAc t,L �• l vS 401
SUBDIVISION V A 11 LOT # 32
Facility Type: 3 B CL N oySC GKNew ❑ Expansion ❑ Repair
Basement? ❑ Yes G,YNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** L 5 % ax-A�c is n .S"s /rte (Initial) Wastewater Flow: .3645 GPD
(See note below, if applicable ❑)
Z Sia 2e A sac4%a s hat (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size tic o cp gallons Exact length of each trench —4 o a> feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-. ? q — t 'Y inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: N. TON vs. GPM
Conditions:
Trench Spacing: 3 Feet on Center
Soil Cover. 7—z — G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicabfe� / understand the ryrtem type rpeciled it different from the type speeiled on the app/icatioa / acrept the rperilcationr of thir permit
Signature:
Date:
This Construction Authorieation is subj a w revoatian 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
contraction Authorization is subject w to me a visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent %<' Date: I Z/oslza/6
n ration Authorization Expiration Date: I z/ 05 Z z o Z.l
HTE# 5 - 39q 13 Permit # Z q ZS --?LHarnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized !
PROPERTY LOCATON: 7- f V /M;11 6 US Voi)
_ SUBDIVISION M H 6 run cy LOT # �Jz
2a�'
I��v's 6