IPAC RNTE# 14-5-`i(GIci2 Harnett County Department of Public Health 29586
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: DA n O—c%
ISSUED TO: S q(14xe 11,4,,c MAS SUBDIVISION LOT # 3
NEW Lwi— REPAIR ❑ EXPANSION ❑
Type of Structure: Srg2 5F4>
Proposed Wastewater System Type: ZSio rli�loo�ac t S�
Projected Daily Flow: K50 GPD
Number of bedrooms: '74 Number of Occupants: Amax
Basement []Yes o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Communityu is ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
91gv years
❑ No expiration
Authorized State Agent: � Date: 041 Z 11 Zo1-4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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 in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .19S2, .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 atached system layout
ISSUED T0: �a dire L 1b A( 6 W
PROPERTY LOCATION: Yvt
. nn cA S(L
1¢6l'
SUBDIVISION
LOT # .3
Facility Type: 1131z- Sr --Z> 66:�aX.56
Er ef�w— ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** —ecep 4c, 2
5% a ,f • n s, rsli
(Initial) Wastewater Flow:
4Pb GPD
(See note below, if applicable ❑)
Qornn 4o At-
(gf� ZS%, hJ 5�a (Repair)
Installation Requirements/Conditions
Number of trenches �e5
Septic Tank Size s z eo gallons
Exact length of each trench G v feet
Trench Spacing: 9
Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over: Z
inches
Maximum Trench Depth of: Zo inches
(Maximum soil cover shall
not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: (t. TON vs. GPM inches below pipe
Aggregate Depth: Z. inches above pipe
Conditions: 11,c.4cro wax[c rAtAli<-un c�tvitus M k c rod L
awaacr car, ---- inches total
f sou e.5 a.c� QC �eGEsv�r,l- �r -
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 type speciled is different from the type specified on the app/icatioa / accept the rpecibcatiom of this permit.
Owner/Legal Representative Signature: Date:
This Construction Audmrimtion 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
Convmction Authonzation 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: Date: 0 7 I L41 t �
Construction Authorization Expiration Date: o -4 fi 12 -r
HTE#ul(.IT/L Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Mckna RA o CS(L 1'E>63)
ISSUED TO: c rn 1, 44- / SUBDIVISION LOT #
Authorized State Agent: Date: Date: t'I�
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