IPAC 2HTE# i(n — 5— ybc# E Harnett County Department of Public Health 29577
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
pp � PROPERTY LOCATION: 35`F 't rPpr.E 2d. (5'-L 15U-4-)
ISSUED T0: \len 4 Ps SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3c, Z I-e)((� ) D 1,,3 n W
Proposed Wastewater System Type: f-6is (T.c.AL-✓c.k 1,.,. S-.<
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: % max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No U411 be required based final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public [Well Distance from well rum feet Permit valid for.
Permit conditions:
DIRe years
❑ No expiration
Authorized State Agent:: Date: G- /ds�, r�,, :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 requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordana
with the attached system layout.
ISSUED TO: R\len "CC,(T c— PROPERTY LOCATION: u fn E' (S'L 1$a�
SUBDIVISION LOT #
Facility Type: 31 C.3rX(Js) DW c� L3—ilei ❑ Expansion ❑ Repair
Basement? ❑ Yes Co Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Zi% rtc �..� i;� 5� sCr (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
2bi t4r a c �' r�5 1-�, (Repair)
Installation�uirements/Conditions Number of trencheS Q
Septic Tank Size T c'X-rti gallons Exact length of each trench t z n feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: I b inches (Maximum sail cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 7, inches above pipe
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.
/Z inches total
**If applicable: l understand the s0em type specified is different from the type specified on the application. / accept the spedhiations of 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 sin. This
construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:Date: v l (y l r
Construction Authorization Expiration Date: 0 4-/ 1 4 / z z
HTE# I%-6-4cs1q Permit # Z%S-.;r- -i?-
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: "Z IS0`f�
ISSUED TO: Alien 14C -C' SUBDIVISION LOT #
Authorized State Agent: Date: 1 -4-
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