IPAC RHTE# I( - 5 - `40 SyR Harnett County Department of Public Health 29293
Improvement Permit
A building permit cannot be issued with only an Improvement Permit Ghs:5(;w
PROPERTY LOCATION:_ Auk,,nsn Qr`G Ln. SCL R 41 Z
ISSUED
TO- �2 i �Vl % vC rA o(Y SUBDIVISION LOT # LL
NEW Lw7 REPAIR ❑ EI NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 ha- 5 Gil
Proposed Wastewater System Type: ZS% Ort A 1;.'n c n
Projected Daily Flow: 26,0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ZNo
Pump Required: Dyes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Q"May be requiredd Is d on final location and elevations of facilities
❑ Public t1� Well Distance from well feet
Permit valid for. Ef Five years
❑ No expiration
Authorized State Ag :: Date:— SEE ATTACHED SITE SKETCH
The issuance of this permit by t allh 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 taws 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.
GLaris�'e" L:�ai RJ.
ISSUED TO:ka ;LSn �c-eu or F PROPERTY LOCATION: A t�osnn B rce7e- In
�� SUBDIVISION LOT #
Facility Type: 51/New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** t -5l Q4A'3:4vsn saK4-aM (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
-t6L (Zg4'>(LGn SyWA'4 (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 1606 gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Exact length of each trench t 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. Z S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: `� Feet on Center
Soil Cover. I (o inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: K &t k.r and rJ• I` �- e s Z inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the tpecilcadont of this permit.
Owner/Legal Representative Signature: Date:
This construction Au@ori ation is s0mett to re,matien if the site elan. plat or the intended use changes_ The Construction Authorisation shall not be transferred when there is a .bona in nwnershie of the site. This
Construction 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 At At IAIntU Milt 111i
1aa.r,t.,y o • - L6 - 14
Authorized State Agent- }��� x0br-,v(Dristruction Authorization Expiration Date: — v4 Z6"'I
HTE# I % - 5 ` `I U3Bel (L Permit # 2 67 Z 93
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATON: v �.7m� Pxevar L,[, 5 [> • y Z
ISSUED TO: K2-:kAr\ (�M-01-0 SUBDIVISION LOT #
Authorized State Agent: Date: Mt's'/L6I -=7-
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