IPAC RHTE# I& 5:?M4D5R, Harnect County Department of Public stealth 28947
Improvement Permit
A building permit cannot be issued with only ann IImRrovement Permit
PROPERTY LOCATION: YV 6Rt7LT5 L t s
ISSUED T0: LQ'--) SUBDIVISION LOT #
NEW-)� REPAIR ❑ KPANSION ❑ �SOx531 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:.
t uaure:wsv�L
Proposed Wastewater System Type: ra-5'% o V tl TEM
Projected Daily Flow: `3 (!!> GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'RI 0
Pump Required: ❑Yes —'ARNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Xive years
Permit conditions: ❑ No expiration
Authorized State Agent: Y Date: `d Tl SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder is respons le for checking with appropriate governing bodies in meaning their requirements. This
site is subject ro revocation it the site plan, plat, or the intended use changes. Theve nt i 11 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 Deposal and to conditions of this permit.�ls
Construction Authorization /
(Required for Building Permit)
The construction and installation requirements of Rules .1950..1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in auordance
with the attached system layout.
ISSUED TO: l_e 0�y C% x* 6v cTN PROPERTY LOCATION: �l ar4AOzS 6-3
—y� _sC 9 SUBDIVISION LOT #
Facility Type: t 1 7�cwv 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �KNo
Type of Wastewater System** Q -! 'le RG OV 0.) be- S7sse.n (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑) o
ci.� 10 I. -Zzr-jL.5 (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size 10 O 0 gallons Exact length of each trench T Q 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of S— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing:, Feet on Center
Soil (over: C�,-Q- 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type spedied is different ham the type spec/hed on the application. l accept the sped&anonr of this pemtit
Date:
This Construction Ruthona act to revoauon it 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. Thu
Construction Authonaanon is subi4Ct to amplia a pravimo the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this parrot SEE ATTACHED SITE SKETCH
Date:
`+) 1'1'-1 Constru� Authorization Expiration Date:
HTE# l6 -r, -3` L�0-:� 2
ISSUED TO: L,
Authorized State Agent:
Permit # '-) 1
Harnett County Department of Public Health
Site Sketch
40� rx 9�<=, C,O rT CI'
PROPERTY LOCATON:
SUBDIVISION _ LOT #
Date: B 1"a
vV)JPC"n I.W