IPAC RHTE #S 6"5- J4%)f Harnett County Department of Public Health 29412
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S:`wG ypsS Com.
ISSUED TO: 0a451e— 't4nmES LLC— SUBDIVISION 14P,_ y-� Gca, oae. LOT#�_
NEWX REPAIR ❑E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S�O�s 13 6lr
Proposed Wastewater System Type: Casty )tV Q-! °& SY5
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement Dyes �No
Pump Required:5ies ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '�14 Public ❑ Well Distance from well \Z0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: � kn Date: 'a I -Z 1 I 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issof other permits The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improve n�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 to conditions of this permit.
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 spec/bed is dfNerent from the type specified on the app/iradon, / arirept the sperifiwionr of this permit
Date:
This construction Authomation is subject revocation 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
Construction Authorization is subject to compliaaxt�h the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1
Constructi *Authorization Expiration Date: —
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. 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: SLS
LLC PROPERTY LOCATION: S
G 5'5
Facility Type: `3 C9 QL-i'3 x6 0
SUBDIVISION AUS d—,
New ❑ Expansion ❑
GcZOV E LOT # a
Repair
Basement? ❑ Yes '*I� No Basement Fixtures? ❑ Yes IkNo
Type of Wastewater System" r-,< 3'S 1•`l QSa/o V—y\)Cs sy.a E�6
(Initial) Wastewater Flow: 36p GPD
(See note below, if applicable ❑)
9y
�Cp
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 1 O 0 co gallons
Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size s o p U gallons
Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of: inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions) pvice1e'(r/y���aG
Pump Requirements: ft. TDM vs.
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
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 spec/bed is dfNerent from the type specified on the app/iradon, / arirept the sperifiwionr of this permit
Date:
This construction Authomation is subject revocation 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
Construction Authorization is subject to compliaaxt�h the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1
Constructi *Authorization Expiration Date: —
HTE# l�_5"3`1623) a
Permit # aA4)a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 5 G Gt
ISSUED T0: O�" �E t SUBDIVISION `r) Qtn� U� G' cxn-4if LOT #
Authorized State Agent: U -) tE[V ' OL*—I">oC; Date:
T�
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