IPAC RHTE# 1l�- 5 -LI aZ-1-4� %mett County Department of Public Health 29308
Improvement Permit
A building permit cannot be issued with only an Improvement I 6(
Permit
"i/ PROPERTY LOCATION: 7, (�c. 'S�� r� �p �L= U Z}
ISSUED TO:,, On �e. i 1� (� L`
NEW CSUBDIVISION SLOT # ZEVREPAIR ❑ EXPANSION ❑ Site Improvements required prior to Constmction Authorization Issuance:
Type of Structure: �f !3(-z— -�% [--Proposed Wastewater System Type: ane AQc3,; at.\
Projected Daily Flow: U 8 C—�, GPD -M
Number of bedrooms: Number of Occupants: Amax
Basement Des o
Pump Required: ❑Yes ❑ No LKMay hrrequired based on final location and elevations of facllttles
Type of Water Supply: ❑ Community 111/Fublic ❑ Well Distance from well
feet
Permit conditions: Permit valid for.
CJI4ta years
❑ No expiration
Authorized State Agents ! i
The issuance of this permit by Health Department in no way P 9 SEE ATTACHED SITE SKETCH
p y guarantees the he Improvement
of other Permit
s. The er be
holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
sin is subject Ru revocation Sew g the site plan, d Diat� 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 Paws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction attached
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 atavhed system layout.
ISSUED TO: �e '�aS\ham PROPERTY LOCATION: Z$y gc
)L; I& 1 (� (Stt 2y J
�yy SUBDIVISION LOT # Z
Facility Type: C]d�New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _ Z 5 iv Q_oa'yc �t� r,g & A:!' , � (Initial) Wastewater Flow: "780 GPD
(See note below, if applicable [1)
2324 , i )';(Repair)
Installation Installation Requirements/Conditions Number of trenches LI
Septic Tank Size 1 uo gallons Exact length of each trench zi`-- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-, Z n inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. _ GPM
Conditions:
Trench Spacing. 9 Feet on Center
Soil Cover. 6P -t inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
t Z 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.
"*I( applicable: /understand the ryrtem type [periled it diNerent hom the type rperi6ed on the app/icaton. / aaepr the fpecifcarionf of thif permit
Owner/Legal Representative Signature: Date
This U110u0num A thonzanon sublets to revoauon if the site plan plat, or the intended we changes The Constrocnnn Authonuhon shall not be transferred when there is a change in ownership of the site. Thu
Constmction Authorization is vvhlnrr m e.n,nu,n- ,.at. .A.......:.:--.
.----- - - - --• •••....... ... .-- reedunem ams uuposai and to me conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State A en . 'zoo` -g
Date: x-31 —! 7
nstruction Authorization Expiration Date: /— /— ZZ
HTE# qO ZZ96 R.— Permit # Z 9308
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON:_289 L�iaot cl n
ISSUED TO: ����kh GSR- ��Z"��
I o SUBDIVISION (Q cc LOT # Z_
Authorized State Agent
_ Date:
aCotI't5 6 "C,.je— 20c.C\