IPAC RHTE# �-7'S z115ooQ, Harnett County Department of Public Health 29695
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'vl sa-1- 1-uJCPs
ISSUED TO: A%LA>'N'i 1G Ngt )N L SUBDIVISION CJw6GC w.ccEa LOT # -Vs
NEW REPAIR ANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of tmcture: 5 10 �' "�qJ
Proposed Wastewater System Type: :.S Jo GOVGIer v 5—asz&n
Projected Daily Flow: �ffiC) GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes No
Pump Required: []Yes !�] No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "Jk Public ❑ Well Distance from well feet Permit valid for: %Five years
Permit conditions: Elo expiration
Authorized State Agent: ""iZesis. -'\\�v�S Date: � 181 T 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department n.no way guarantees issuance of other permits. The permit hol er 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in aaordance
with the attached system layout
ISSUED TO: P.'CL.P'�K,cG Qv -3- Z r 1NG PROPERTY LOCATION: W 11- 1— L\) 9.0
SUBDIVISION S—G&Mw NN't;L LOT # 3`�
4O BALL C) New ❑ Expansion ❑ Repair
Facility Type: 5� � P P
Basement? ❑ Yes No Baze}"ent Fixtures? ❑ Yes No
Type of Wastewater System** aSi"G r 1ZGc1Uc� \ C/w (Initial) Wastewater Flow: yV 0 GPD
(See note below, if applicable ❑)
7S l a Q60 (Repair)
Installation Requirements/Conditions Number of trenches I q
Septic Tank Size IOo o gallons Exact length of each trench '.M10 feet Trench Spacing: T Feet on (enter
Pump Tank Size +Rasa gallons Trenches shall be installed on contour at a Soil Cover. L13 -4Y inches
Maximum Trench Depth of.. GT—ba 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: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( 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 speciled on the application. / accept the specifications of thir permit
Owner/Legal Representative Signature: Date:
This Construction Authoma i ' t 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 Authorizati U
subj!1f1tio,.mIpIia the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this Penni. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 11
tilyristruction Authorization Expiration Date: D;L
HTE# 17-S"L)ISOGQ_
Permit # Z,9 4 TS
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: W i ". L -u a.P.S
ISSUED T0: S -S ) G J5 S i L SUBDIVISION S w C6 7 w ciCF1L I LOT # 3%
Authorized State Agent: 'las Ll-,, z" K3D0 Date: 8181 Y7
145