IPAC RHTE# 1 S- y1vo52 Harnett County Department of Public Health 29465
Imarovement Permit
A building permit cannot be issued with only an ImprovementPermit S 6e-- s$51
PROPERTY LOCATION: �rr lOc . C 6w I e 4S C r055 foc,. S 9Zr,1,
ISSUED T0:4C- Si� C-10 nSt . LG . SUBDIVISION W',RT0'a bror�+/LOT # I I
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 R2 Srb (-ON x 51 ' )
Proposed Wastewater System Type: 7-5 %o ttcd. Sys{ .
Projected Daily Flow: 340 GPD
Number of bedrooms: 3 Number of Occupants: C, max
Basement ❑Yes RIO �
Pump Required: []Yes ❑ No flayrequired based on final location and elevations of facilities ��
Type of Water Supply: ❑ Community f Public El Well Distance from well feet Permit valid for. a^—e years
Permit conditions: ❑ No expiration
Authorized State Agent: l%/��i/'t„! Date: a�Zo 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Realih Depam m 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 in compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Maximum Trench Depth of: '7- c> 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: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
,o inches below pipe
Z inches above pipe
(7- inches total
**If applicable, / understand the system type speciled is different from the type specified on the app/icadon. / accept the specilcationf o/ this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject in revocation if the site plan, plat, or the intended use changes. The Commission Authorisation shall not he transferred when there is a change in ownership of the site. This
construction Authorization is
with the previsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �� �� � '/ .yes Date: OY/ ZS /Z c,(—+
Construction Authorization Expiration Date: Ga//z-.4 /zaZi'
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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
t551
ISSUED TO: Ccs Cuns4,
Ccom52
PROPERTY LOCATION: Gy(r
001 bt ( Ci a:Le�
Ccs
� SUBDIVISION Wil,
6[- (G
LOT #
Facility Type: 3a, 1::705 0'
x51 a 5 New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
Z5iv n s,,� &C2
(Initial) Wastewater Flow:
'36C> GPD
(See note below, if applicable ❑)
Form
it, 7�%c, /Cel - S 76k rs (Repair)
Installation Rhe uirements/Conditions
Number of trenches Z
Septic Tank Size 100 > gallons
Exact length of each trench 17-G feet
Trench Spacing:
Feet on (enter
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. 8
inches
Maximum Trench Depth of: '7- c> 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: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
,o inches below pipe
Z inches above pipe
(7- inches total
**If applicable, / understand the system type speciled is different from the type specified on the app/icadon. / accept the specilcationf o/ this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject in revocation if the site plan, plat, or the intended use changes. The Commission Authorisation shall not he transferred when there is a change in ownership of the site. This
construction Authorization is
with the previsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �� �� � '/ .yes Date: OY/ ZS /Z c,(—+
Construction Authorization Expiration Date: Ga//z-.4 /zaZi'
HTE#
I -- -5 - y I oo5 2 Permit # Z,* L -6:5
Harnett County Department of Public Health
Site Sketch
Carr 1Jetl 5& 155L
PROPERTYLOCATON: p rte_ R._:te�s Crossrcwds2d�
ISSUED TO: C C 5kl as Cons& Lao SUBDIVISION }ir-6GYL LOT # I
Authorized State Agent: Date: o� z -S / Ltst }
P2oPo5,�D "I
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