IPAC-VoidedHTE# /G- '5-- Y63 S-7 Harnett County Department of Public Health 29159
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
�J PROPERTY LOCATION: tYw o = rw Noitn.,is A4- '
/l
ISSUED � % 'S'e Z SUBDIVISION Al&—r S GfeE� LOT # 15
NEW �j7. x4tREPAIR ❑ Z EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: &Y 31 D Cr
Proposed Wastewater System Type: f--- "'
Projected Daily Flow: — GPD
Number of bedrooms: Number of Occupants: — max
Basement ❑Yes No
Pump Required: OYes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well Net Permit valid for. E Five years
Permit conditions: ❑ No expiration
Authorized State A nut, II Date: / " -f-17 SEE ATTACHED SITE SKETCH
The issuance of this permit j sh Nealth 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 revoatio a site plan, 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 provision of
the laws and Rules for Sewage Treatment and (huposal and to conditions of this permit..
Construction Authorization
Reauired for Building Permit
The constructions 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: e%IaGZ PROPERTY LOCATION: ;Firr /NN 0 A"'f� IC41)
J% SUBDIVISION 11%1---r//57Cite2K LOT #
Facility Type: 3/D(9 New ❑vExPansion ❑ Repair
Basement? ❑ Yes No Basement � �Fi�x�tur[e�s? �❑ Yes f� No
Type of Wastewater System** .6xr5 � G (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
C� —5 _J (Repair)
Installation Requirements/Conditions Number of i6nches
Septic Tank Size /0Ud gallons Exact length of each trench feet Trench Spacing: _ Feet on Center
Pump Tank Size /d06 gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of:
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: @. TUN vs. GPM
Conditions:
AIZO 4 t=
_ inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specified is different from the type specified on the app/icarioa / accept the spetihcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorintion is subject to streamers if the site plan, plaS or the intended use changes. The construction Authorinuon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State AggW-. �'� Date: I — N - 17
Construction Authorization Expiration Date: t — Lf - ZZ
HTE# go357
Harnett County
Permit # 2 9 / S %
Department of Public Health
Site Sketch
0yt1 qYv i o Naa, s /4,�
LOT # -S F,
Date: / — � — 1 1
�2ee�
Lev c. I b -
PROPERTY LOCATC
q
ISSUED TO: Ti�G(/�
;7
Authorized Stat�ent— "
S/P /SUBDIVISION
— - /"!!ti✓f1
0yt1 qYv i o Naa, s /4,�
LOT # -S F,
Date: / — � — 1 1
�2ee�
Lev c. I b -