IPAC RHTE# -yOyHarnett County Department of Public Health 29344
Improvement Permit `!/�
A building permit cannot be issued with only an Improvement Permit dld.&496 (a
PROPERTY LOCATION: 1,11- 0)civ�b \zq�5 Qr. ( 5(Z )M(e
ISSUED SUBDIVISION CSX (7n, -X blond - LOT #
NEWREPAIR ❑ PkX ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:b(Z ,S (4& X a/9a)
Proposed Wastewater System Type: ZS Bio
Projected Daily Flow: (�b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Ei o
Pump Required: []Yes ❑ Nof3�May bee ed based on final location and elevations of facilities
Type of Water Supply: El Community L.YPubllc ❑ Well Distance from well feet Permit valid for. ' e years
Permit conditions: ❑ No expiration
Authorized State Agent. ate: c 3/ Z 9/1 -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 .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be insulted in accordance
with the attached system layout
C(7Id t±=S)
ISSUED TO: S. M" -V- (-)(-C> ert 05 PROPERTY LOCATION: 52 (Cr)( -
SUBDIVISION b u GK -d n LOT #
Facility Type: 36CL 5 � 4 Ls X y 4 t) 1� 11 Expansion El Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System"* "L6i r Zewc.ldo n 6,4 ✓h (Initial) Wastewater Flow: 3(a O GPD
(See note below, if applicable EI) (k-yn(- -6p V
2.5% I%d • 676e -e", (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t 000 gallons
Pump Tank Size gallons
Exact length of each trench 4 5 feet
Trenches shall be installed on contour at a
Maximum Trench Depth
(Trench bottoms shall be
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
of: 7-L4inches
level to +/-1/4"
Trench Spacing: % Feet on Center
Soil Cover: 1 Z- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
a inches below pipe
Z inches above pipe
it Z inches total
"'If applicable: / andemtand the ryrtem type speciled it different from the type rperiled on the application. /accept the rpecilcatianr of this 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
tonstrucnon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IACHtU lilt SKt ICM
Authorized State Agent: ���y�2%f�!�Date: 031Z,
Construction Authorization Expiration Date: Q3JZ&Z-
HTE# (ic ` 5 - goL, Permit # 2-,7 3yy
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2t -4' 6V,CvrL 0ooAs bc. l 52 i �bL
ISSUED TO: 1.5, fYl" P co F": e5 SUBDIVISION cuA ,Joos yLOT #
Authorized State Agen �� ��� Date: 03`ZcF//
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