IPAC RHTE# 5-110q6,Z- Harnett County Department of Public Health 29569
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Jr'!'C gcls.„ans a,, . / S t IS --I L4)
ISSUED T0: Q:iUe—,3 s SUBDIVISION LOT # /
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 3(32 $)=;a o t y 559
Proposed Wastewater System Type: C(")1' )1' t ny 1 5,;s ,
Projected Daily Flow: 3 & 6 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement []Yes B- o —
Pump Required: ❑Yes ❑ No Ca'Hay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public El -Vi Distance from well feet ( vA I N) Permit valid for:
Permit conditions:
[— r
❑ No expiration
Authorized State Agent::1�-01 Date: CZ7/0 3/ ZO/-7 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 requirement 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 acmrdance
with the attached system layout
ISSUED TO: 5 1, Vic PROPERTY LOCATION: A-, I—V, cTcr+s 2A . ( Sat IS --7 '4
�� SUBDIVISION LOT #
'-ET--New
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Facility Type: ' a2 5 Fc� vat 6 � New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" C—onvenL' cacti\ G(_ A SaS (Initial) Wastewater Flow: 3(o6 GPD
(See note below, if applicable ❑)
C"_cnx/. Baur\ Sys (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size I rX00 gallons Exact length of each trench 1 5 O feet Trench Spacing: `9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 9'y— (, ea inches
Maximum Trench Depth of ret` 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. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: G e=F Cc.ndr r i .pill ") Ao ow (245`^� L;/ 5 krecta n f i inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the system tfpse specified is different hom the type speciled on the application. / accept the rpeci&ations ol 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
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 SEE ATTACHED SITE SKETCH
Authorized State Agent: - __013` Date: U/y3 / u.t�
Construction Authorization Expiration Date: v / oil Zo zz
NTE# 14 -5—yVgy- n— Permit # 29569
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: os(%e A cSW s 2 a . 5c1 r5 7,46
ISSUED T0: _a_nC. SUBDIVISION LOT # t
Authorized State Agent � ,�"" Date: v * I0 3 ZC L 7
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