IPAC RHTE#—5-&/Z Harnett County Department of Public Health 29189
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit _
PROPERTY LOCATION: a7m, 15-6 c- :� zQ-Arc a:79 7 0 /ZZ)
ISSUED TO:.5i79 �
-2VC =4 y -c( X2�... L SUBDIVISION Zit sl rrr,� 7r� ^� LOT # 7-7
NEW Lg" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z S `/a
Projected Daily Flow: 7)1 Cs 6 GPD
Number of bedrooms: — Number of Occupants: /o max
Basement []Yes 210
Pump Required: ❑Yes ❑ No Cd Ma 'be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ir9 Public ❑ Well Distance from well feet Permit valid for: ffFrve years
Permit conditions: ❑ No expiration
Authorized State tat:: /' (/Ts l Wdx9/ Date: 3 - 3 —/ 7 SEE ATTACHED SITE SKETCH
The issuance of this permit b Health 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 revocation if the 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction 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 /f &W 6 PROPERTY LOCATIONZ. 1 s f� cs .<, r?.ti
VISION e�r/ �{G.ro OT # s -7
Fadlity Type: 0 Sew xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System" %5�Ja PLo�b.t-4� eSdr -s-/'"(Initial) Wastewater Flow: Q u GPD
(See note below, if applicable ❑)
Z-/ �eC(-(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size O O gallons Exact length of each trench 31c3 feet Trench Spacing: Feet on Center
Pump Tank Sizegallons Trenches shall be installed on contour a Soil Cover: inches
Maximum Trench Depth of JA inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: fL TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
7z -inches above pipe
inches total
**If applicable: / understand the system type specih'ed is diherent from the type spedbed on the application. / accept the spedbcatiom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authomartion is subject to severeness if the sire 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
tonstmmon Authontanon 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 A Date: 4 /
Construction Authorization Expiration Date:
HTE# IG `S V0��
Permit # -Z 9 / 6"
Harnett County Department of I'L ihlic Health
Site Sketch
PROPERTY LOCATON: lS65— -�Sf ISS r�
ISSUED TO: SrI I Gy -I g, i s / SUBDIVISION LOT # 3
Authorized State Agent: Date: 3 ' 3— M
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