IPAC RHTE# I a 5 -'/06 2 Harnett County Department of Public Health 29341
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CluernC3or- CVIO(e i, I" . C SYL 16!5r
ISSUED TO: /0 i t^ C SUBDIVISION LOT #
NEW 13" REPAIR ❑ -EXPANSION ❑
Type of Structure: 392 rvAAm. 4 u,g,� ( zY' se (a')
Proposed Wastewater System Type: Cont/.r e- rvn.aeis S 15kA
Projected Daily Flow: 360 GPD
Number of bedrooms: _ S Number of Occupants: 6 max
B ❑ �j
Site Improvements required prior to Construction Authorization Issuance:
asement Yes o �
Pump Required: ❑Yes ❑ No li'May required based on final location and elevations of facilities
Type of Water Supply: ElCommunity lPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
C9lve years
❑ No expiration
Authorized State Agent:: 4 Date: 0 3 / L z // 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordance
with the attached system layout
ISSUED TO: 61cyisa Cvrktis Lo ver- PROPERTY LOCATION: r4ipne.7el' C-korcl% (la. (Srt 1555557)
SUBDIVISION LOT #
Facility Type: 3113a MAW. bfcast--5CLY'x68p-' rew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" C':'nyetfl'
n nc\ rc ve.t
, sJir
(Initial) Wastewater
flow: TaO GPD
(See note below, if applicable ❑)
Cc-,rw• C
Ce Q.kSiatrenches
(Repair)
Installation Requirements/Conditions
Number of 4
Septic Tank Size %000 gallons
Exact length of each trench -is feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on
contour at a
Soil Cover: r t
inches
Maximum Trench Depth of
2y 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: h. TDH vs.
GPM
6 inches below pipe
Aggregate Depth:
2 inches above pipe
Conditions: 71 Ver C -f. mlAl,AyrA FKtt
l toA scoff 6csk {c.
.5 '5&
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 speriled it different from the type spedbed on the app/kation. / accept the specifcationr o/ thin permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to 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
tanstrumon mimanzatum 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 AI IACHEU SITE SKETCH
Authorized State AgentF � RG�Date: 03111114
Construction Authorization Expiration Date:y 3/L m/ 2 L
HTE# 1:4 ' S ' y (46LQ Permit # Z S3 i//
Harnett County Department of Public Health
Site Sketch
PROPERTYLO(ATON: r=1.eief,i CIns.q\A aA Sit iSSap)
ISSUED TO: C \ o 5c Cc)t Ers Lunt z SUBDIVISION LOT #
Authorized State Agent: r� ��% /l�__.S�e' Date: v3 / Z t /
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