IPACNTE# 1--)' 5`41 M49, Harnett County Department of Public Health 29507
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: Nr—at-1WF—Ti
ISSUED TO: sdz t9 FOC�LUtvt—�fNCr_h SUBDIVISION LOT#
NEW ❑ REPAIR ❑ EXPANSIONS Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ECC . rJ.sc ; 00&s.) c _ 'A
Proposed Wastewater System Type: E:d sst W t,
Projected Daily Flow: '1 SO GPD 150 .6wnz?�q ,y
Number of bedrooms: Number of Occupants: max
Basement ❑Yes �Wo
Pump Required: bill ❑ No ❑ 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. ive years
Permit conditions: 6x. �O SBrt,.t 6. <�C�+.r Q a ❑ No expiration
Authorized State Agent: awl
The issuance of this permit by the Health Department in no way guarantees thesr�nre
site is subject to revocation if the site plan, plat, or the intended use changes. The Impri
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
5 Date: 5 3 I1 7) SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
nement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
squired for Building Permit]
The mnswttion and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1957, .195a and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO:Soa-so l o ;- \) r,sGD r'lccw, G1. PROPERTY LOCATION: T -Ii Li WEiT
SUBDIVISION LOT #
Facility Type: KxT »F;sJ ❑ New iK Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes )KNo
Type of Wastewater System** Ewtvo-faN b SyS ;C- (Initial) Wastewater Flow: -1 SCD GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size I sv0 gallons
Pump Tank Size t0C)0 gallons
G¢resGE lna� lotto to)' -5
Z.S"/. ?-esz,•Sy,. (Repair)
Number of trenches E -Ala; hes
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
feet Trench Spacing Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36' above the trench bottom)
v5ge.
Conditions: S'' �Aggregate Depth: S6Q,yE %5Ch\E,a.1 O"a i�
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 l undeatand the ryrtem type ipeciled it different from the type fpeciled on the application. / Mept the spec/fmcatfons of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorizaams.i ubett to revocation if the site plan, plat or the imm�ded use changes. The Construction Authorindon shall imt be transferred when then i'.
Construction AuthorintiosLect to corn the tions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: &6W Date: _
Cons l n Authorization Expiration Date:
e in ownership of the site. This
SEE ATFACHED SITE SKETCH
HTE# 1-7-5-y11194L
ISSUED TO:
Authorized
Permit # X)
Harnett County Department of 11�iblic Health
Site slietch
PROPFRTY I OfGTON- N C W [r
LOT #
Date: -5 31
NCa-a W