IPACHTE# (0-5 -N9s°) Harnett County Department of Public Health 29687
Imarovement Permit
A building permit cannot be issued with only an Improvement Perm
PROPERTY LOCATION: 11 M L
D4� oil oW N
ISSUED T0: �.6Nd
QIN buc—"p tlaNa SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SW
Proposed Wastewater System Type: I -T'10 F1:aud0av "556^
Projected Daily Flow: C O GPD
Number of bedrooms: S Number of Occupants: ie max
Basement ❑Yes 'PZ No
Pump Required: ❑Yes —N�No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "5g: Public ❑ Well Distance from well het Permit valid for. Five years
Permit conditions: \ No expiration
Authorized State Agent: 2!�Ys > Date: ' 131 I s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees e i ce of other permits. The permit holder iT ns6 kr 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 Impr went 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..
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the sfsmm type speciled is different hom the type specirred on the application. / accept the specilcalim; of this permit.
Owner/Legal
Construction Authorization is
plat or the intended use changes. The Construction Authorization shall not be transient
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: Date: __�
nstruction Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
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 thin permit and shall be met. Systems shall be installed in xcordace
with the attached system layout
ISSUED TO: a�0A UCIA P%NNNJ
PROPERTY LOCATION: t"t»
Q
M�Koy GWty "D
SUBDIVISION
LOT #
Facility Type: `'�
❑ New �K Expansion ❑ Repair
Basement? ❑ Yes '19 No Basement
fixtures? ❑ Yes �(No
Type of Wastewater System** a Sw/ o
eco uG>> t7 ry %ys 7&—r+
(Initial) Wastewater Flow: G6 0 GPD
(See note below, if applicable ❑)
xs'1 e
X60 • Sy,,L-M (Repair)
Installation Requirements/Conditions
Number of trenches C.
Septic Tank Size 12a."—� gallons
Exact length of each trench tO0 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover c- inches
Maximum Trench Depth of: A-8 a 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. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the sfsmm type speciled is different hom the type specirred on the application. / accept the specilcalim; of this permit.
Owner/Legal
Construction Authorization is
plat or the intended use changes. The Construction Authorization shall not be transient
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: Date: __�
nstruction Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE#
Permit # L9
Harnett County Department of INiblic Health
Site Sketch
PROPERTY LOCATON: /i 11 V\ psi 1 c>� t N
ISSUED T0: vcNANAN SUBDIVISION LOT #
Authorized State Agent: > S L �OL<i D0(ZQ
Date: —7t
' `C Y—Oy ! oN N wj