IPAC RHTE# ICS- S' U"ZS**2_ Harnett County Department of Public Health 29312
Improvement Pe
A building permit cannot be issued with only an Improvement Permit
ISSUED TO �QnnES� ��`,ny PROPERTY LOCATION: S}ark��2
NEW REPAIR ❑ SUBDIVISION LOT #
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: RCL MVn �� C�.P �P d Rhyw
Proposed Wastewater System Type: �} o a �•��_
Projected Daily Flow: GPD
Number of bedrooms: —Number of Occupants: ro max
Basement Dyes 191 o
Pump Required: Dyes ❑ No O -May It equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well � �
Permit conditions: feet Permit valid for. Iv6d ve years
❑ No expiration
dt
Authorized State A t:le I
j—�
The issuance of this permitby a alth Department in no way guarantees the issuance of other permits. The permit holder is Doss (or ec g with appropriate governing
ATTACHED SITE SKETCH
ing bodies in meeting their requirements. This
site is subjxt to revontion i 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 provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
ermit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and rJ 99591 an incin orporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout n
ISSUED T0: tk_nn .s 9 124.0 54,,sA'tnu PROPERTY LOCATION: 5�,Dc<4_ S� T 'Ll -GA -
Basement?
l 6,
yes
Facility Type: _(�ta[,y(t y�� ( @/ SUBDIVISION LOT # �I
Basement? ❑ Yes New ❑ Expansion ❑ Repair
No�Baseement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'* �%n �e,�Lz.n 5,'s
(See note below, if applicable (Initial) Wastewater Flow: ' GPD
b
Installation Requirements/Conditions Repair)
Number of trenches
Septic Tank Size gallons Exact length of each trench c
Pump Tank Size gallons g �� feet Trench Spacing: i feet on Center
g Trenches shall be installed on contour at a Soil Cover. r„ 4
Maximum Trench Depth of. 7 td inches
P inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4w 36" above the trench bottom)
Pump Requirements: ft. TDH vs. in all directions)
GPM
inches below pipe
Conditions: Aggregate Depth: 2, inches above pipe
1 Z inches total
WATER LINES (INCLUDING IRRIGATIONS MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable- / understand the Ypem type rpeciled it different from the type Jpeciled on the app/ira#an. / accept the tperift2#0nr of this permit
Ivy ner/LegalRepresentatjve Signature:
s Canswction Author¢atian is subject to resoation if the site plan, plat or me intended use changes. The tunspuction Authmairmus shall not be transferred when Meeeis a change in ownership of the site. this
Construction Authorization is subject
�to compliance with the provisions to t
of the laws and Rules for Sewage Treatment and Disposal and he conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen Z "ii 0
Date:—
Authorization
ate:_
Authorization Expiration Date:
HTE# 'i Oz,S--I;L_
Permit # 2 y3 f Z
Harnett County Department of Public Health
Site Sketch
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