IPAC RNTE# 1 5-q oil aPHarnett County Department of Public Health 2 1 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 41111 114i1LLs NAop6E Lr
ISSUED T0: \ n 0E1— I �P�O(t �A'sf i SUBDIVISION I LOT #
NEW ' REPAIR ❑ Ex�SION ❑
Type of Structure: 5`e (.`3?-`s^mstiq-i'-
Proposed Wastewater System Type: QLS`/v F�DVr \ o N 75�t;n
Projected Daily Flow: 2.4 b GPD
Number of bedrooms: `a. Number of Occupants: Li max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
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Type of Water Supply: ❑ Community Sac`Public ❑ Well Distance from well � Co 0 feet Permit valid for ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: R(c> S Date: Q. 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o permits The permit hot r u res onsible 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 ' shall no ed by a change in ownershippf 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. o" n�7 9It ti T�
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
Timm TO. h\ tn06Li-74 V NL -6 0.6O.N>a PRnPFRTY inrATInN- L-ilLi n11 's S )Ai ,. s F ) ..
1 SUBDIVISION — LOT # a.
Facility Type: _5� i� k� '' X New ❑ Expansion El Repair
Basement.? 1-1Yes -".&L No Basement Fixtures? ❑ Yes
Type of Wastewater System** �S'�e p.Gov Gao , N y�Err� (Initial) Wastewater Flow: d-40 GPD
(See note below, if applicable ❑)
21. S %o RGov c-, a av 57'5 (Repair)
Installation Requirements/Conditions Number of trenches 3 o4 '-_1
Septic Tank Size ? 00 o gallons Exact length of each trench 50 %K feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 4S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: q Feet on Center
Soil Cover: -- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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: / ondeatand the Jystem type rpeci6ed it different hoYn the type rpecibed on the application. / accept the Jpecifcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject ion if the site plan, plat. or the intended use changes. The Construction Authorization shall not be transferred when there o a change in ownership of the site. This
construction AudlDrimtlon is subje� to wmplianc�vsi(, the b e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: v t>?.--.r>J Date: Q 17
q�T•al���_ Ai? 5
Consir'uaiga Authorization Expiration Date: aI" Ia�
HTE# i�-s-T-1� Il Permit # a0 li) {
Harnett County Department of Public Health
Site Sketch /
\J PROPERTY LOCATON: �» �t� LS �0V56 1^\/
ISSUED TO: L\1 "Q L� ik>QCAPS - SUBDIVISION LOT #
Authorized State A &q, oL 5�0(6� Date: a� X111
DEC:>~ Aoo6-D 0H 4>)15)0f\
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