IPAC RHTE# I6-�, Haria_.t County Department of Public _.,jalth 29127
Improvement Permit
A building permit cannot be issued with ori Improvement Permit
L PROPERTY LOCATION: INACG X>
ISSUED TO:tq C�k�,,A SUBDIVISIONMga>cG-lSQLiavc LOT # 3
NEWLY' REPAIR []� SOX ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ` '�
Proposed Wastewater System Type: e v S o v t o >J
Projected Daily Flow: -'23$Q GPD
Number of bedrooms: Number of Occupants: ,max
Basement []Yes ��KNo
Pump Required: t�4,es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply:
El Public ❑ Well Distance from well L d feet Permit valid for. Five years
Permit Conditions: c-�� ❑ No expiration
Authorized State Agent:: -) _ Date:_ ��\)'� 2 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuane dwr permits. The permit holder is respon ble for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plaC or the inundeduse changes. The I rovemetit hal t 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 to conditions of this permit.
Reauired for Building Permit
The construction and installation requirements o1 Rules .1950, .1951, .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: Tn c.lCs�,H C: -V s n 2R C7, g a C PROPERTY LOCATION: s y U6s.1
SUBDIVISION LOT # '
Facility Type: I:k New ❑ Expansion ❑ Repair
Basement? ❑ Yes M No Basement Fixtures? ❑ Yes ')KNo 4a 6
Type of Wastewater System** pu 019�� ���jo p.C-ZvGSN trite �g�M (Initial) Wastewater Flow• GPD
(See note below, if applicable ❑)
QU (Repair)
Installation Requirements/Conditions Number of trenches a '7�
Septic Tank Size iot3o gallons Exact length of each trenc—ham feet
Pump Tank Size Zooms gallons
Trenches shall be installed on contourat a
Maximum Trench Depth of: o 7` inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing eT Feet on (enter
Soil Cover. Y1- 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / nndeatand the system type speciled is different from the type speciled on the app/ication. / aircept the rpeuh'catioar of this permit
Owner/Legal Representative Signature: Date:
This Construction Aufhomadon is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there it a change in owmrship of the site. This
Construction Authorization is subject4o compliance wi a m the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
ized Sta ent: Date: \2. A1
k
Ck S + �OnstlntFl Authorization Expiration Date: Y 1 m 7l
NTE# �<o'rJ'403�� (� Permit # a'�\ Q0
Harnett County DepaAment of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: kw--�37 SUBDIVISION MA2CLiOLI'CE LOT # a
Authorized State Agent:
e!
c!�
GT OG'- NuSL��('S ij ��
Date: 1�I�y Il b
Boris